DR. ROBERT CONRAD PARK (NPI# 1881695930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881695930 |
| Entity Type | Individual |
| Full Name | DR. ROBERT CONRAD PARK |
| Other Name | DR. R. CONRAD PARK |
| Credential | M.D. |
| Practice Address |
3333 Colorado Blvd Denton TX 76210-6817 |
| Practice Telephone | 9403828080 |
| Practice Fax Number | 9405660864 |
| Mailing Telephone | 9403828080 |
| Mailing Fax Number | 9405660864 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2016-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
F4351 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
F4351 | TX | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
F4351 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477639375 | Robert K Park | Dentist | 12374 Carmel Country Rd, #209, San Diego, CA 92130-4523 | 2006-10-31 |
| 1497701353 | Robert Park | Optometrist | 3385 Woodward Crossing Blvd, Suite 350, Buford, GA 30519-4947 | 2006-05-25 |
| 1083617633 | Robert Park | Obstetrics & Gynecology | 2177 Marylwood Ct, West Linn, OR 97068-1434 | 2005-05-27 |
| 1326525866 | Robert W Park | Counselor | 5757 Woodway Dr Ste 110, Houston, TX 77057-1506 | 2018-07-27 |
| 1871957597 | Robert Y. Park | Student in an Organized Health Care Education/Training Program | 833 Chestnut St, Suite 220, Philadelphia, PA 19107-4414 | 2016-04-08 |
| 1457680407 | Robert Eoin Park | Internal Medicine | 3400 Spruce St, 210 White, Philadelphia, PA 19104-4206 | 2009-12-21 |
| 1578749610 | Robert Park | Dentist | 4220 W 3rd St, Ste 202, Los Angeles, CA 90020-3450 | 2008-01-19 |
| 1063611747 | Robert D Park | Dentist | 9727 Greenside Dr, Cockeysville, MD 21030-5030 | 2007-07-13 |
| 1255471579 | Robert E Park | Chiropractor | 174 W Parrish Ln, Centerville, UT 84014-1821 | 2007-02-07 |
| 1053472605 | Robert Phil Park | Psychologist | 1305 Tommydon St, Stockton, CA 95210-3364 | 2006-12-13 |
| Street Address |
3333 COLORADO BLVD |
| City | DENTON |
| State | TX |
| Zip Code | 76210-6817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124027164 | George William Johnson Jr. | Surgery | 3333 Colorado Blvd, Denton, TX 76210-6817 | 2005-07-20 |
| 1871852293 | Solomon Blake Spiegel | Internal Medicine | 3333 Colorado Blvd, Denton, TX 76210-6817 | 2012-05-04 |
| 1730496720 | Chris Brian Cianci | Internal Medicine | 3333 Colorado Blvd, Denton, TX 76210-6817 | 2010-09-12 |
| 1942454921 | Denton Heart Group, P.a. | Internal Medicine | 3333 Colorado Blvd, Denton, TX 76210-6817 | 2008-11-04 |
| 1639171374 | Terri A. Mcdaniel | Nurse Practitioner | 3333 Colorado Blvd, Denton, TX 76210-6817 | 2005-08-12 |
| 1427058940 | Ricky L. Harris | Internal Medicine | 3333 Colorado Blvd, Denton, TX 76210-6817 | 2005-07-27 |
| 1255331955 | Gary P. Fazio | Internal Medicine | 3333 Colorado Blvd, Denton, TX 76210-6817 | 2005-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609403716 | Corinth Community Pharmacy, LLC. | Pharmacy | 3001 F.m. 2181, Suite 450, Corinth, TX 76210 | 2020-03-26 |
| 1003467200 | Stephanie R Rynor I | Nurse Practitioner | 3001 Fm 2181 Ste 300, Corinth, TX 76210 | 2019-09-28 |
| 1417435389 | Ikids Pediatric Dentistry Denton, Pllc | Dentist | 1212 Bent Oaks Ct Ste 100, Denton, TX 76210 | 2018-08-02 |
| 1083100101 | Ahir Dental Pllc | Dentist | 3220 Teasley Ln, Suite#100, Dention, TX 76210 | 2018-07-02 |
| 1235636010 | Diane Michelle Dean | Counselor | 2701 Shoreline Drive, Denton, TX 76210 | 2018-04-09 |
| 1740709344 | Southridge Dental, LLC | Dentist | 3303 Unicorn Lake Blvd, Ste 200, Denton, TX 76210 | 2017-09-14 |
| 1356876601 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Fm 2181, Corinth, TX 76210 | 2017-04-25 |
| 1366990137 | Phee Dental Group | Dentist | 4920 Teasley Ln, Denton, TX 76210 | 2016-09-21 |
| 1265893283 | Ann Marie Norris | Respiratory Therapist, Registered | 3535 E I-35, Denton, TX 76210 | 2016-03-18 |
| 1447644778 | Santa Patricia Espinoza | Nurse Practitioner | 3537 South Interstate 35e, Ste. 210, Denton, TX 76210 | 2015-03-25 |
| Find all providers in zip 76210 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073967568 | Siva P Sontineni Md Pa | Internal Medicine | 802 N Bonnie Brae St # 104, Denton, TX 76201-2499 | 2016-04-20 |
| 1871852293 | Solomon Blake Spiegel | Internal Medicine | 3333 Colorado Blvd, Denton, TX 76210-6817 | 2012-05-04 |
| 1730496720 | Chris Brian Cianci | Internal Medicine | 3333 Colorado Blvd, Denton, TX 76210-6817 | 2010-09-12 |
| 1407042757 | Babu Makkena | Internal Medicine | 3537 S I 35 E, Suite 200, Denton, TX 76210-6800 | 2007-09-20 |
| 1609072065 | Sridevi Reddy Pitta | Internal Medicine | 3315 Unicorn Lake Blvd Ste 171, Denton, TX 76210-0127 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198665 | Na Medical, Pllc | Internal Medicine | 4310 James Casey St Ste A, Austin, TX 78745-1251 | 2020-09-09 |
| 1497367015 | Trident Heart and Vascular, Pllc | Internal Medicine | 5801 Oakbend Trl Ste 270, Fort Worth, TX 76132-3922 | 2020-08-17 |
| 1891251104 | Woodlands Elite Cardiology, Pllc | Internal Medicine | 150 Pine Forest Dr Ste 702, Shenandoah, TX 77384-5317 | 2019-02-12 |
| 1033684113 | Summit Heart and Vascular Pllc | Internal Medicine | 6138 Precinct Line Rd Ste 100, Hurst, TX 76054-2610 | 2018-10-04 |
| 1104329440 | Deerbrook Cath Lab LLC | Internal Medicine | 18450 Hwy 59 Suite 101, Humble, TX 77338 | 2018-03-13 |
| 1073015681 | Dfw Heart and Wellness Center, Pllc | Internal Medicine | 425 N Highland Ave Ste 220, Sherman, TX 75092-7383 | 2018-02-28 |
| 1346758695 | Cardiac Cin of North Texas | Internal Medicine | 6565 N Macarthur Blvd Ste 225c, Irving, TX 75039-2490 | 2018-01-19 |
| 1487162368 | Cardiac Cin of West Texas LLC | Internal Medicine | 18911c Hardy Oak Blvd, San Antonio, TX 78258-4966 | 2018-01-13 |
| 1114435096 | Cardiac Cin of Austin LLC | Internal Medicine | 401 Congress Ave Ste 1540c, Austin, TX 78701-4071 | 2018-01-13 |
| 1275040925 | Prime Heart and Vascular, Pllc | Internal Medicine | 2633 Dallas Pkwy Ste 100, Plano, TX 75093-4715 | 2018-01-03 |
| Find all providers with the same taxonomy | ||||
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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.