DR. PETER H PARK


Address: 5701 W 119th St, Suite 430, Overland Park, KS 66209-3722
Phone: 9132533000

DR. PETER H PARK (NPI# 1750328860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750328860
Entity Type Individual
Full Name DR. PETER H PARK
Credential MD
Practice Address 5701 W 119th St
Suite 430
Overland Park
KS 66209-3722
Practice Telephone 9132533000
Practice Fax Number 9136632980
Mailing Telephone 9132533000
Mailing Fax Number 9136632980
Enumeration Date 2006-05-31
Last Update Date 2012-10-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0001X Internal Medicine
Specialization: Clinical Cardiac Electrophysiology
T-00529 KS Allopathic & Osteopathic Physicians
N 207RC0001X Internal Medicine
Specialization: Clinical Cardiac Electrophysiology
2006013533 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KS KS LICENSE T-00529 01

Other Providers PETER PARK

NPI Name Taxonomy Address Enumeration
1033685177 Peter Sungil Park Obstetrics & Gynecology 31874 Summer Grape Ct, Winchester, CA 92596-8633 2018-10-16
1699015792 Peter Ju Park Radiology 100 Woodruff Cir Ne, Suite 327, Atlanta, GA 30322-0001 2013-02-26
1831296185 Peter Joonsun Park Emergency Medicine 34800 Bob Wilson Dr. Naval Medical Center, Department of Emergency Medicine, San Diego, CA 92134-1110 2006-09-20
1508899915 Peter C Park Family Medicine 30 Vt Route 100 S, Wilmington, VT 05363-7944 2006-07-09
1952359887 Peter K Park Physical Medicine & Rehabilitation 6447 E Riverside Blvd, Suite 102, Rockford, IL 61114-4421 2006-05-04
1104825033 Peter Sang-wook Park Podiatrist 1501 W Commonwealth Ave, Fullerton, CA 92833-2727 2005-07-21
1154937241 Peter S Park Student in an Organized Health Care Education/Training Program 820 Memorial St Ste 1, Prosser, WA 99350-2504 2020-09-23
1437762275 Peter Park Pharmacist 1713 W Springfield Ave, Champaign, IL 61821-3011 2020-08-30
1831650043 Peter K Park Student in an Organized Health Care Education/Training Program 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2019-03-29
1508392176 Peter Park Social Worker 4320 Diplomacy Dr, Anchorage, AK 99508-5925 2017-05-02

Office Location

Street Address 5701 W 119TH ST
SUITE 430
City OVERLAND PARK
State KS
Zip Code 66209-3722

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265426506 John Lewis Dunlap Internal Medicine 5701 W 119th St, Ste 145, Overland Park, KS 66209-3722 2005-09-01
1326585399 Carol Barkhurst Nurse Practitioner 5701 W 119th St, Suite 220, Overland Park, KS 66209-3721 2017-01-27
1811356520 Andrew Oyelere Nurse Practitioner 5701 W 119th St, Suite 320, Overland Park, KS 66209-3721 2016-02-23
1922466028 Rachel Elise Hinkle Nurse Practitioner 5701 W 119th St, Suite 220, Overland Park, KS 66209-3721 2016-02-03
1073970455 Michael Brenton Murff Nurse Practitioner 5701 W 119th St, Ste 220, Overland Park, KS 66209-3721 2016-01-15
1750783866 Tracy Coltharp Nurse Practitioner 5701 W 119th St, Ste 209, Overland Park, KS 66209-3749 2014-09-19
1467878355 Lindsay Riley Nurse Practitioner 5701 W 119th St, Suite 135, Overland Park, KS 66209-3721 2014-03-15
1952730590 Mary Shoemaker Nurse Practitioner 5701 W 119th St, Suite 120, Overland Park, KS 66209-3721 2013-11-04
1922348069 Kc Hospitalists, Pa Internal Medicine 5701 W 119th St, Suite 135, Overland Park, KS 66209-3721 2013-02-27
1922358902 Menorah Medical Group, LLC Orthopaedic Surgery 5701 W 119th St, Suite 308, Overland Park, KS 66209-3721 2012-09-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265900286 Kansas Wellness Associates LLC Family Medicine 4300 W 133rd Street, Suite 200, Leawood, KS 66209 2018-11-07
1740781871 Courtney Collins Physical Therapy Assistant 6830 W. 121st. Ct, Overland Park, KS 66209 2018-02-23
1295246015 Meredith Meyer Bell Nurse Practitioner 5064 W 130th Terrace, Leawood, KS 66209 2017-10-19
1740712223 Margaret Alice Luckert Registered Nurse 5701 W 119th Street Suite 220, Overland Park, KS 66209 2017-04-03
1609311133 Kansas City Community Hospital, LLC General Acute Care Hospital 13200 State Line Road, Leawood, KS 66209 2016-12-19
1316492499 Christy Vopat Occupational Therapist 4952 W. 129 Th Terr, Leawood, KS 66209 2016-08-18
1861846594 Paige Aberasturi Penick Nutritionist 6709 W 119th St # 207, Overland Park, KS 66209 2016-04-19
1568827905 Eating Disorder Treatment Associates, LLC Clinic/Center 12140 Nall Avenue, Suite 315, Overland Park, KS 66209 2015-12-30
1689056483 Michael Hauber Physical Therapist 12728 State Line Rd, Leawood, KS 66209 2015-06-29
1033597000 Brooke J Heppner Mft Marriage & Family Therapist 6711 W. 121st Street, Suite 101, Overland Park, KS 66209 2015-05-11
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Taxonomy Information

Taxonomy Code 207RC0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Clinical Cardiac Electrophysiology

Taxonomy Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568783603 Darbhamulla Venkata Nagarajan Internal Medicine 3901 Rainbow Blvd # Ms 3006, Room 1001 Eaton, Kansas City, KS 66103-2937 2010-06-11
1427063239 Naga V Garikipati Internal Medicine 20805 W 151st St # 400, Olathe, KS 66061-7249 2006-07-30
1467406306 Mid-america Cardiology Associates, Inc. Internal Medicine 3901 Rainbow Blvd Ste G600, Kansas City, KS 66160 2006-05-22
1194377655 Amit Shrestha Internal Medicine 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160-8500 2019-07-15
1336496595 Austin Med Group Inc Internal Medicine 345 N Riverview St, Wichita, KS 67203-4200 2012-08-07
1306151808 Kansas Physicians Group, LLC Internal Medicine 2600 N Woodlawn Blvd, Wichita, KS 67220-2729 2010-08-10
1982853610 M Obadah Al Chekakie Internal Medicine 9119 W 74th St, Suite 350, Shawnee Mission, KS 66204-2215 2008-09-18
1467401349 Bajaj Electrophysiology Internal Medicine 3243 E Murdock St, Suite #510, Wichita, KS 67208-3052 2006-05-09
1255398673 Cypress Heart, Pa Internal Medicine 9300 E 29th St N, Suite 310, Wichita, KS 67226-2182 2006-04-28

Competitor

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City OVERLAND PARK
Zip Code 66209

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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