THOMAS M PARK (NPI# 1952304792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952304792 |
| Entity Type | Individual |
| Full Name | THOMAS M PARK |
| Credential | MD |
| Practice Address |
3334 Capital Medical Blvd Ste. 400 Tallahassee FL 32308-8405 |
| Practice Telephone | 8508778174 |
| Practice Fax Number | 8508775636 |
| Mailing Telephone | 8508778174 |
| Mailing Fax Number | 8508775636 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2013-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 056205 | GA | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | ME85708 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000962739B | 05 | |
| FL | 264968300 | 05 | |
| GA | 000962739A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063619419 | Thomas Park | Dentist | 134 New Haven Rd, Seymour, CT 06483-3908 | 2007-06-29 |
| 1619359288 | Thomas Park | Internal Medicine | 1600 Sw Archer Rd # 100277, Gainesville, FL 32610 | 2015-06-19 |
| 1790055358 | Thomas Park | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2012-01-12 |
| 1669756045 | Thomas Park | Pharmacist | 1260 Liberty Rd, Eldersburg, MD 21784-7928 | 2011-10-04 |
| 1174843163 | Thomas Park | Psychiatry & Neurology | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2010-06-02 |
| 1629169412 | Thomas T Park | Psychiatry & Neurology | 4160 John R St, 916, Detroit, MI 48201-2020 | 2006-09-27 |
| 1609976547 | Thomas Chin Park | Surgery | 2725 Capitol Ave, Suite 402, Sacramento, CA 95816-6004 | 2006-09-22 |
| 1609835198 | Thomas Park | Internal Medicine | 601 Elmwood Ave, Box 646, Rochester, NY 14642-0001 | 2006-03-22 |
| 1194707562 | Thomas S Park | Pharmacist | 23357 Pacific Coast Hwy, Malibu, CA 90265-4957 | 2005-11-18 |
| Street Address |
3334 CAPITAL MEDICAL BLVD STE. 400 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-8405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619970589 | David Christian Berg | Orthopaedic Surgery | 3334 Capital Medical Blvd, Ste. 400, Tallahassee, FL 32308-8405 | 2005-05-24 |
| 1932731684 | Shane Thomas Stockelman | Internal Medicine | 3334 Capital Medical Blvd, Tallahassee, FL 32308-8405 | 2020-02-11 |
| 1750913794 | Stephen C Mchargue | Specialist/Technologist | 3334 Capital Medical Blvd, Tallahassee, FL 32308-8405 | 2020-02-07 |
| 1639642572 | Ross Scavo | Specialist/Technologist | 3334 Capital Medical Blvd, Tallahassee, FL 32308-8405 | 2019-01-03 |
| 1659887891 | Jennifer Baxter | Specialist/Technologist | 3334 Capital Medical Blvd, Tallahassee, FL 32308 | 2017-12-26 |
| 1730503798 | Keshia Arrington | Specialist/Technologist | 3334 Capital Medical Blvd, Suite 100, Tallahassee, FL 32308-8405 | 2014-02-11 |
| 1447682687 | Eric D Bernstein | Physical Therapy Assistant | 3334 Capital Medical Blvd, 300, Tallahassee, FL 32308-8405 | 2013-07-30 |
| 1356681050 | Megan C Milton | Nurse Practitioner | 3334 Capital Medical Blvd, Ste 400, Tallahassee, FL 32308-8405 | 2013-02-18 |
| 1235413949 | Jared Ryan Johnson | Physician Assistant | 3334 Capital Medical Blvd, Suite 400, Tallahassee, FL 32308-8405 | 2011-09-30 |
| 1821379124 | Lauren K Snider | Physical Therapist | 3334 Capital Medical Blvd, Suite 300, Tallahassee, FL 32308-8405 | 2011-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952713646 | Kyle Mobley | Orthopaedic Surgery | 2605 Welaunee Blvd, Tallahassee, FL 32308-4697 | 2014-05-29 |
| 1962668194 | Howard Warren Kessler | Orthopaedic Surgery | 2390 Phillips Road, Tallahassee, FL 32308-5326 | 2008-08-07 |
| 1962563981 | David Anthony Crumbie Jr. | Orthopaedic Surgery | 4004 Kilmartin Dr, Tallahassee, FL 32309-2853 | 2006-12-13 |
| 1518934694 | Hank Lawrence Hutchinson | Orthopaedic Surgery | 3334 Capital Medical Blvd #400, Tallahassee, FL 32308-4470 | 2006-03-07 |
| 1306848445 | Peter E Loeb | Orthopaedic Surgery | 1911 Miccosukee Rd, Tallahassee, FL 32308-5321 | 2005-08-10 |
| 1619970589 | David Christian Berg | Orthopaedic Surgery | 3334 Capital Medical Blvd, Ste. 400, Tallahassee, FL 32308-8405 | 2005-05-24 |
| 1073516837 | Thomas C Haney | Orthopaedic Surgery | 3334 Capital Medical Blvd Ste 400, Tallahassee, FL 32308-4470 | 2005-05-24 |
| 1255685046 | Ryan Christopher Price | Orthopaedic Surgery | 1401 Centerville Rd Ste 710, Tallahassee, FL 32308 | 2012-11-01 |
| 1962763565 | Chesley F Durgin IIi | Orthopaedic Surgery | 3334 Capital Medical Blvd Ste 400, Tallahassee, FL 32308 | 2012-05-31 |
| 1548588072 | Tony Labree Bryant Jr. | Orthopaedic Surgery | 3334 Capital Medical Blvd Ste 400, Tallahassee, FL 32308-4470 | 2010-05-07 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
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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.