JOUNG HO PARK


Address: 25710 Kelly Rd, Ste 3, Roseville, MI 48066
Phone: 5867722600

JOUNG HO PARK (NPI# 1801845946) 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) 1801845946
Entity Type Individual
Full Name JOUNG HO PARK
Credential MD
Practice Address 25710 Kelly Rd
Ste 3
Roseville
MI 48066
Practice Telephone 5867722600
Practice Fax Number 5867725289
Mailing Telephone 5867722600
Mailing Fax Number 5867725289
Enumeration Date 2006-05-08
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
034719 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 1390410 05

Other Providers JOUNG PARK

NPI Name Taxonomy Address Enumeration
1043415201 Joung Park Dentist 1 Jasons Way, Annville, PA 17003-2037 2007-06-18

Office Location

Street Address 25710 KELLY RD
STE 3
City ROSEVILLE
State MI
Zip Code 48066

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326040510 Basem Almasri Family Medicine 25710 Kelly Rd, Ste 3, Roseville, MI 48066-4959 2005-06-01
1720511405 Innovation Medicine, Pllc Internal Medicine 25710 Kelly Rd, Ste 3, Roseville, MI 48066-4959 2017-04-10
1497104616 Jillian Tacia Dietitian, Registered 25710 Kelly Rd, Suite 3, Roseville, MI 48066-4959 2016-06-08
1134584279 Jagruti Patel Nurse Practitioner 25710 Kelly Rd, Suite 3, Roseville, MI 48066-4959 2015-12-16
1447488572 Josefine Lampasona Evola Dietitian, Registered 25710 Kelly Rd, Suite 3, Roseville, MI 48066-4959 2009-06-27
1164619623 J H Park Md PC Internal Medicine 25710 Kelly Rd, Ste 3, Roseville, MI 48066-4959 2007-09-28
1629119649 Eastland Diagnostic PC Clinic/Center 25710 Kelly Rd, Roseville, MI 48066-4959 2007-02-11
1982788980 Francisco J. Rodriguez Md PC Surgery 25710 Kelly Rd, Suite 2, Roseville, MI 48066-4959 2006-10-25
1376592691 Francisco J Rodriguez Surgery 25710 Kelly Rd, Suite 2, Roseville, MI 48066-4959 2006-05-06
1730167644 Borivoje Trifunovic Internal Medicine 25710 Kelly Rd, Suite 3, Roseville, MI 48066-4959 2006-01-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437761400 Louay Mansour Dds PC Dentist 27845 Gratiot Avenue, Roseville, MI 48066 2020-08-20
1558911842 Jomy Jose Nurse Practitioner 25719 Salem St, Roseville, MI 48066 2019-09-18
1053963033 Convenient Rv PC Dentist 19551 E. 10 Mile Rd, Roseville, MI 48066 2019-07-10
1063914539 Colleen Meriweather Registered Nurse 27300 Spruce, Rosevilel, MI 48066 2018-03-01
1326565789 Renee Suzette Hoelzeman Nurse Practitioner 18472 Meier St, Roseville, MI 48066 2017-08-27
1225561400 Eugenia Dillard Counselor 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 2017-04-05
1932651338 Julie Plichota Physical Therapist 31120 Gratiot Ave, Roseville, MI 48066 2016-11-01
1699221325 Jaquenta Glasker Technician, Other 26778 Rosewood, Roseville, MI 48066 2016-09-01
1609296144 Peter Jajou Dermatology 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 2014-04-23
1619393899 Katherine Michelle Johnson Obstetrics & Gynecology 29751 Little Mack Ave Ste B, Roseville, MI 48066 2014-03-11
Find all providers in zip 48066

Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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 city

NPI Name Taxonomy Address Enumeration
1750647285 Piper Julie Hughes Internal Medicine 151 N Sunrise Ave Ste 1205, Roseville, CA 95661-2932 2012-04-10
1104948280 Ameer Abdulrazzak Internal Medicine 18001 E 10 Mile, Suite 1, Roseville, MI 48066-3803 2007-04-06
1881647584 Abdul R Effendi Internal Medicine 25710 Kelly Rd Ste 1, Roseville, MI 48066-4959 2006-05-17
1912909540 Jukaku Tayeb Internal Medicine 18001 E 10 Mile Rd, Suite 1, Roseville, MI 48066-3803 2005-08-12
1326272501 Neetu Sharma Internal Medicine 25710 Kelly Rd Ste 1, Roseville, MI 48066-4959 2009-05-04
1619101805 Don N Chang Internal Medicine 151 N Sunrise Ave, Suite 1205, Roseville, CA 95661-2924 2009-05-04
1124265822 Sourabh Kharait Internal Medicine 151 N Sunrise Ave, Suite 1205, Roseville, CA 95661-2924 2009-01-16
1467616433 Marrouf Azar Internal Medicine 25710 Kelly Rd Ste 1, Roseville, MI 48066-4959 2008-07-17
1144484924 Heather Lynn Henderson Internal Medicine 18001 E 10 Mile Rd, Suite 1, Roseville, MI 48066-3803 2008-07-11
1932396496 Kidney Consultants of Michigan PC Internal Medicine 25710 Kelly Rd Ste 1, Roseville, MI 48066 2007-09-28
Find all providers in ROSEVILLE

Competitor

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City ROSEVILLE
Zip Code 48066

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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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