DR. JIN SUP PARK (NPI# 1962436550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962436550 |
Entity Type | Individual |
Full Name | DR. JIN SUP PARK |
Credential | MD |
Practice Address |
8619 Pasture View Ln Houston TX 77024-7039 |
Practice Telephone | 7136860274 |
Practice Fax Number | 7136860274 |
Mailing Telephone | 7136860274 |
Mailing Fax Number | 7136860274 |
Enumeration Date | 2006-07-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
E8797 | TX | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730619032 | Jin Park | Acupuncturist | 1096 N Western Ave Ste 107, Los Angeles, CA 90029-2340 | 2017-06-19 |
1972767069 | Jin Park | Optometrist | 266 Yorktown Ctr, Lombard, IL 60148-5526 | 2008-07-17 |
1245440486 | Jin Woo Park | Acupuncturist | 1323 Phillips Dr, Fullerton, CA 92833-5641 | 2007-05-23 |
1255548343 | Jin Sook Park | Physical Therapist | 630 Hillcrest Dr, Redwood City, CA 94062 | 2007-05-17 |
1336264126 | Jin Won Park | Acupuncturist | 9042 Garden Grove Blvd Ste 299, Garden Grove, CA 92844-1370 | 2007-03-20 |
1164552246 | Jin Hwi Park | Dentist | 9295 Magnolia Ave, #103, Riverside, CA 92503-3800 | 2007-03-06 |
1992800353 | Jin Hewa Park | Family Medicine | 250 W San Jose Ave, Claremont, CA 91711-5207 | 2006-09-13 |
1053948034 | Jin Patrick Park | Student in an Organized Health Care Education/Training Program | 505 E 70th St, New York, NY 10021-4872 | 2020-03-27 |
1073052478 | Jin Park | Pharmacist | 1900 E Lambert Rd, Brea, CA 92821-4371 | 2017-02-17 |
1801246715 | Jin Park | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2016-06-21 |
Street Address |
8619 PASTURE VIEW LN |
City | HOUSTON |
State | TX |
Zip Code | 77024-7039 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154955664 | Candace L Lillibridge | Physical Therapist | 700 Town & Country Blvd, Suite 2490, Houston, TX 77024 | 2020-02-24 |
1952940728 | Generations Provider Services LLC | Technician | 12633 Memorial Dr #242 Unit, Houston, TX 77024 | 2019-12-27 |
1912540352 | Francesca Penner | Psychologist | 920 Frostwood Drive, Suite 670 and 680, Houston, TX 77024 | 2019-10-17 |
1407498553 | Charles Hooks Iv | Technician | 12119 Perthshire Rd, Houston, TX 77024 | 2019-10-10 |
1427614379 | Texas Regional Clinic | Pain Medicine | 8301 Katy Freeway, Suite 101, Houston, TX 77024 | 2019-05-16 |
1922663871 | Fast Premier Transport LLC | Secured Medical Transport (VAN) | 811 Town and Country Blvd., Suite 141, Houston, TX 77024 | 2019-05-07 |
1205317534 | Hiro Health Corporation | Durable Medical Equipment & Medical Supplies | 8584 Katy Freeway, Suite 422, Houston, TX 77024 | 2018-08-24 |
1548799901 | K Med Pharmacy | Pharmacy | 11900 Barryknoll #6109, Houston, TX 77024 | 2017-06-08 |
1184166712 | Baylor College of Medicine | Clinic/Center | 8660 Memorial Drive, Houston, TX 77024 | 2016-11-14 |
1376092197 | Elyse Sears Dds Pllc | Dentist | 803 W Sam Houston Pkwy N, Ste 124, Houston, TX 77024 | 2016-09-22 |
Find all providers in zip 77024 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295096576 | Peiman Habibollahi | Radiology | 1515 Holcombe Blvd Unit 1471, Houston, TX 77030-4000 | 2012-06-04 |
1164681862 | Kimberly Charmell Weatherspoon | Radiology | 2190 North Loop W Ste 250, Houston, TX 77018-8016 | 2008-06-06 |
1215153531 | Adam S Alli | Radiology | 5301 Hollister St., Suite 350, Houston, TX 77040 | 2007-04-17 |
1396885760 | Vascular Access Center of Houston LLC | Radiology | 9230 Kirby St, Suite 100, Houston, TX 77054 | 2007-02-07 |
1376563700 | Sudhen B Desai | Radiology | 6701 Fannin St Ste 470, Houston, TX 77030-2608 | 2006-07-20 |
1205832466 | Jeffrey R Goldstein | Radiology | 7026 Old Katy Rd, Suite 276, Houston, TX 77024-2133 | 2005-06-22 |
1992260277 | Nirp Dallas-fort Worth Pllc | Radiology | 3730 Kirby Dr Ste 1200, Houston, TX 77098-3985 | 2019-01-31 |
1619432903 | Nirp Bryan-college Station Pllc | Radiology | 3730 Kirby Dr Ste 1200, Houston, TX 77098-3985 | 2019-01-31 |
1033674312 | Nirp Waco Pllc | Radiology | 3730 Kirby Dr Ste 1200, Houston, TX 77098-3985 | 2019-01-31 |
1326526583 | Medical Imaging Partners Pa | Radiology | 16750 Red Oak Dr, Houston, TX 77090-2543 | 2018-07-31 |
Find all providers in HOUSTON |
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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.