DR. HEE KIM PARK (NPI# 1962411017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962411017 |
| Entity Type | Individual |
| Full Name | DR. HEE KIM PARK |
| Credential | MD |
| Practice Address |
420 Spring Forest Rd Greenville NC 27834-7244 |
| Practice Telephone | 2527524124 |
| Practice Fax Number | 2527528954 |
| Mailing Telephone | 2527524124 |
| Mailing Fax Number | 2527528954 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2008-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
20174 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDCOST NORTH CAROLINA | 72102 | 01 |
| NC | BLUE CROSS BLUE SHIELD NC | 65233 | 01 |
| NC | 8965233 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831637180 | Hee K Park | Social Worker | 15422 Manor House Ter, Rockville, MD 20853 | 2017-02-07 |
| 1568729754 | Hee M Park | Obstetrics & Gynecology | 9 Lake View Dr, Goshen, NY 10924-5800 | 2012-04-12 |
| 1508197161 | Hee Myung Park | Internal Medicine | 7614 William Penn Pl, Indianapolis, IN 46256-2288 | 2010-01-21 |
| 1053433235 | Hee Bang Park | Acupuncturist | 22640 Golden Springs Dr, # B, Diamond Bar, CA 91765-2200 | 2007-04-06 |
| 1932741899 | Hee Park | Technician | 911 N Buffalo Dr Unit 210, Las Vegas, NV 89128-0381 | 2019-10-11 |
| 1841857273 | Hee Park | Behavior Technician | 9351 W Broad St, Henrico, VA 23294-5437 | 2019-05-21 |
| 1023526837 | Hee Jin Park | Dentist | 3607 Davis Dr Ste 209, Morrisville, NC 27560-6005 | 2018-01-15 |
| 1932412244 | Hee Woo Park | Acupuncturist | 3900 Truxtun Ave, Bakersfield, CA 93309-0600 | 2010-07-16 |
| 1760563332 | Hee Nam Park | Chiropractor | 85 Raritan Ave, Suite 430, Highland Park, NJ 08904-2439 | 2006-10-18 |
| 1124129564 | Hee Chull Park | Internal Medicine | 3600 30th Street, Va Medical Center, Des Moines, IA 50310 | 2006-09-26 |
| Street Address |
420 SPRING FOREST RD |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-7244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598759482 | Eastern Dermatology, P.a. | Dermatology | 420 Spring Forest Rd, Greenville, NC 27834-7244 | 2005-09-07 |
| 1457722043 | Easterm Dermatology, Pa | Dermatology | 420 Spring Forest Rd, Greenville, NC 27834-7244 | 2015-10-08 |
| 1134538283 | Erin Mcgillicuddy Hurd | Nurse Practitioner | 420 Spring Forest Rd, Greenville, NC 27834-7244 | 2014-08-02 |
| 1366880304 | Randall Lee Proctor | Dermatology | 420 Spring Forest Rd, Greenville, NC 27834 | 2013-06-12 |
| 1356515233 | John Anthony Papalas IIi | Pathology | 420 Spring Forest Rd, Greenville, NC 27834-7244 | 2008-04-22 |
| 1285834788 | Eric Richard Howell | Dermatology | 420 Spring Forest Rd, Greenville, NC 27834-7244 | 2007-07-23 |
| 1720288442 | Virginia B Taylor | Dermatology | 420 Spring Forest Rd, Greenville, NC 27834-7244 | 2007-07-20 |
| 1124040605 | Mary Helen Allen Hutchinson | Dermatology | 420 Spring Forest Rd, Greenville, NC 27834-7244 | 2006-07-24 |
| 1912929472 | Walter Ray Gammon | Dermatology | 420 Spring Forest Rd, Greenville, NC 27834-7244 | 2006-07-24 |
| 1861414286 | Richard James Murphy | Dermatology | 420 Spring Forest Rd, Greenville, NC 27834-7244 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| 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 Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740235563 | Robert L Jetton | Dermatology | 369 Woodruff Rd, Greenville, SC 29607-3415 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073667077 | Earl George Gross | Dermatology | 3610 Medical Park Court, Morehead City, NC 28557 | 2007-01-23 |
| 1972591055 | Paul J Kostuchenko | Dermatology | 1345 Westgate Center Dr Ste B, Winston Salem, NC 27103-3041 | 2005-10-12 |
| 1588959894 | Dana Haydel | Dermatology | 706 Green Valley Rd Ste 104, Greensboro, NC 27408 | 2011-06-14 |
| 1821240995 | Westgate Dermatology and Laser Center, P.a. | Dermatology | 2020 Peace Haven Rd, Winston Salem, NC 27106-4851 | 2008-10-21 |
| 1841344843 | Crystal Coast Dermatology Services, Pa | Dermatology | 3610 Medical Park Court, Morehead City, NC 28557 | 2007-01-23 |
| 1609961853 | Scott David Mcclellan | Dermatology | 2115 Neuse Blvd, New Bern, NC 28560-4309 | 2006-10-04 |
| 1104847714 | Polley Clinic of Dermatology & Dermatologic Surgery | Dermatology | 1806 Glendale Dr Sw, Wilson, NC 27893-4402 | 2006-07-21 |
| 1619903176 | Dermatology Associates of Coastal Carolina, Pa | Dermatology | 2115 Neuse Blvd, New Bern, NC 28560-4309 | 2006-06-24 |
| 1255316311 | Rita O Pichardo-geisinger | Dermatology | 4618 Country Club Rd, Winston Salem, NC 27104-3520 | 2005-12-13 |
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on DR. HEE KIM PARK.
| 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.