DR. MICHAEL KWANSUP PARK (NPI# 1932289030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932289030 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL KWANSUP PARK |
| Credential | MD |
| Practice Address |
1940 Webster St 2nd Floor Oakland CA 94612-2920 |
| Mailing Address |
5700 Telegraph Ave Ste 100 Oakland CA 94609-1710 |
| Practice Telephone | 5104634700 |
| Practice Fax Number | 5104634722 |
| Mailing Telephone | 5104634700 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2019-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | G75378 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE | E91026 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902393390 | Michael Sehyun Park | Pharmacist | 2920 Inland Empire Blvd Ste 112, Ontario, CA 91764-6581 | 2018-04-20 |
| 1942229505 | Michael K Park | Family Medicine | 3445 Woody Crk, Evergreen, CO 80439-7996 | 2006-07-18 |
| 1730135641 | Michael David Park | Dentist | 1200 N Vermont Ave, Suite B, Los Angeles, CA 90029-1760 | 2006-05-25 |
| 1942204680 | Michael Park | Allergy & Immunology | 430 W Centre Ave, Portage, MI 49024-5304 | 2005-06-10 |
| 1013514777 | Michael Park | Case Manager/Care Coordinator | 515 Columbia Ave Ste 200, Los Angeles, CA 90017-1209 | 2020-10-06 |
| 1457906257 | Michael Y Park | Dentist | 12793 Laurel Bowie Rd, Laurel, MD 20708-2606 | 2019-08-08 |
| 1831611177 | Michael Park | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2017-07-07 |
| 1194270231 | Michael H Park | Dentist | 330 W 58th St, Apt 9p, New York, NY 10019-1827 | 2016-08-18 |
| 1225489347 | Michael Adam Park | Optometrist | 1801 N 3rd St, Coeur D Alene, ID 83814-3400 | 2016-06-30 |
| 1912353061 | Michael Park | Counselor | 1411 Sw Morrison St Ste 310, Portland, OR 97205-1945 | 2016-05-09 |
| Street Address |
1940 WEBSTER ST 2ND FLOOR |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-2920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104104363 | Minnie Mau | Occupational Therapist | 1940 Webster St, Ste. 203, Oakland, CA 94612-2920 | 2011-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047173 | Shandi Rakowsky | Physical Medicine & Rehabilitation | 6250 Highway 64 Ste 5, Oakland, TN 38060-5175 | 2020-03-09 |
| 1104394782 | Danielle Sariyan | Physical Medicine & Rehabilitation | 43 Yawpo Ave Ste 10, Oakland, NJ 07436-2717 | 2018-11-13 |
| 1184977613 | Margaret Lucy Stokely | Physical Medicine & Rehabilitation | 44 Danbury St, Oakland, CA 94605-5814 | 2012-10-22 |
| 1356434047 | Paula Kay Schwarz | Physical Medicine & Rehabilitation | 6001 Telegraph Ave, Oakland, CA 94609-1310 | 2006-10-02 |
| 1639131212 | Mechel M Henry | Physical Medicine & Rehabilitation | 1300 Clay St, Suite 600, Oakland, CA 94612-1425 | 2006-04-06 |
| 1053800136 | Elizabeth Harris | Physical Medicine & Rehabilitation | 3300 Broadway, Oakland, CA 94611-5718 | 2018-05-04 |
| 1619471554 | Laura Cannon | Physical Medicine & Rehabilitation | 4341 Piedmont Ave Ste 201, Oakland, CA 94611-4792 | 2018-03-23 |
| 1043723695 | Margaret Cosgrove | Physical Medicine & Rehabilitation | 3600 Broadway, Oakland, CA 94611-5730 | 2017-11-06 |
| 1922548601 | Northern California Occupational Clinic Inc | Physical Medicine & Rehabilitation | 2648 International Blvd, Suite 302, Oakland, CA 94601-1547 | 2017-03-01 |
| 1780086397 | Koh Medical Inc | Physical Medicine & Rehabilitation | 350 Hawthorne Ave, Oakland, CA 94609-3108 | 2014-09-25 |
| Find all providers in OAKLAND | ||||
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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.