ANDREW JI HOON PARK (NPI# 1871121012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871121012 |
| Entity Type | Individual |
| Full Name | ANDREW JI HOON PARK |
| Credential | MD |
| Practice Address |
Beth Israel Deaconess Medical Center 1 Deaconess Rd Boston MA 02215 |
| Mailing Address |
One Deaconess Road Rosenberg Building, 2nd Floor Boston MA 02215 |
| Practice Telephone | 6177542339 |
| Mailing Telephone | 6177542339 |
| Mailing Fax Number | 6177542350 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | MA | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376167643 | Andrew J Park | Student in an Organized Health Care Education/Training Program | 26845 Barton Rd, Loma Linda, CA 92373-4309 | 2020-06-02 |
| 1043661770 | Andrew Joon Park | Physical Medicine & Rehabilitation | 12631 E 17th Ave # Msf493, Aurora, CO 80045-2527 | 2016-06-23 |
| 1598722654 | Andrew Eunkoo Park | Orthopaedic Surgery | 17051 Dallas Pkwy, Suite 400, Addison, TX 75001-7109 | 2006-05-01 |
| 1093331373 | Andrew Park | Anesthesiology | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2020-06-22 |
| 1922664135 | Andrew Park | Pharmacist | 1558 Trancas St, Napa, CA 94558-2916 | 2019-05-13 |
| 1033678305 | Andrew Park | Student in an Organized Health Care Education/Training Program | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2019-03-17 |
| 1982137519 | Andrew Chunkil Park | Psychiatry & Neurology | 101 The City Dr S, Orange, CA 92868-3201 | 2017-04-10 |
| 1730610718 | Andrew John Park | Student in an Organized Health Care Education/Training Program | 550 S Jackson St, Louisville, KY 40202-1622 | 2017-03-22 |
| 1437691870 | Andrew Park | Physical Therapist | 34617 11th Pl S Ste 201, Federal Way, WA 98003-8706 | 2016-11-16 |
| 1124489836 | Andrew Park | Marriage & Family Therapist | 1910 N Bush St, Santa Ana, CA 92706-2816 | 2016-03-09 |
| Street Address |
BETH ISRAEL DEACONESS MEDICAL CENTER 1 DEACONESS RD |
| City | BOSTON |
| State | MA |
| Zip Code | 02215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760460844 | Patricia N O'sullivan | Internal Medicine | Beth Israel Deaconess Medical Center, 300 Brookline Avenue, Boston, MA 02215 | 2006-01-09 |
| 1801442207 | Rishad Usmani | Health Educator | Beth Israel Deaconess Medical Center, 330 Brookline Ave, W/span 2, Boston, MA 02215 | 2019-08-13 |
| 1487124301 | Mahmoud Labib | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215 | 2018-12-04 |
| 1003300161 | Ashlyn Whitlock | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215 | 2018-06-21 |
| 1689168155 | Riley David Stewart | Internal Medicine | Beth Israel Deaconess Medical Center, 330 Brookline Ave Dona 603, Boston, MA 02215 | 2018-06-19 |
| 1629568753 | Denise Studley | Nurse Practitioner | Beth Israel Deaconess Medical Center, 330 Brookline Ave, Gryzmish 133, Boston, MA 02215 | 2018-05-15 |
| 1760988174 | Maximiliano Ramia De Cap | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215 | 2018-04-04 |
| 1528472651 | Erik M Kelly | Internal Medicine | Beth Israel Deaconess Medical Center, 185 Pilgrim Road, Baker 4, Boston, MA 02215 | 2014-06-17 |
| 1669718920 | Vanessa Pascoe | Dermatology | Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Shapiro 2nd Fl, Boston, MA 02115 | 2012-12-13 |
| 1962792002 | Morgan Soffler | Internal Medicine | Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02115 | 2011-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447636 | Sarah Wieman | Student in an Organized Health Care Education/Training Program | 16 Blossom St Fl 1, Boston, MA 02114-3104 | 2020-11-03 |
| 1932709938 | Brianna Mae Duval | Student in an Organized Health Care Education/Training Program | 58 Colborne Rd, Boston, MA 02135-4103 | 2020-10-28 |
| 1780281279 | Sarah Hamad Alsaggabi | Student in an Organized Health Care Education/Training Program | 55 Traveler St Apt 1310, Boston, MA 02118-2973 | 2020-10-07 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1962018069 | Cara Connors | Student in an Organized Health Care Education/Training Program | 18 Wiget St Apt 1, Boston, MA 02113-2363 | 2020-09-23 |
| 1023624608 | Bernadette Avila | Student in an Organized Health Care Education/Training Program | 19 Peterborough St Apt 5, Boston, MA 02215-4409 | 2020-09-19 |
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| Find all providers in BOSTON | ||||
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| 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.