DR. JANELLE LIRA PARK (NPI# 1033219563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033219563 |
Entity Type | Individual |
Full Name | DR. JANELLE LIRA PARK |
Credential | M.D. |
Practice Address |
3402 W Dr Martin Luther King Jr Blvd Tampa FL 33607-6214 |
Mailing Address |
4371 Veronica S Shoemaker Blvd Attn: Credential Department Fort Myers FL 33916-2216 |
Practice Telephone | 8138753950 |
Practice Fax Number | 8138760432 |
Mailing Telephone | 2392748200 |
Mailing Fax Number | 2392783350 |
Enumeration Date | 2006-09-24 |
Last Update Date | 2012-11-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME103816 | FL | Allopathic & Osteopathic Physicians |
N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
A78831 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | AVMED | 331658 | 01 |
FL | 001497200 | 05 | |
FL | BCBS | 146KH | 01 |
FL | RR MEDICARE | P00811542 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265815286 | Janelle Chungwon Park | Pharmacist | 740 W Alluvial Ave Ste 101, Fresno, CA 93711-5509 | 2015-07-08 |
Street Address |
3402 W DR MARTIN LUTHER KING JR BLVD |
City | TAMPA |
State | FL |
Zip Code | 33607-6214 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033189246 | Matthew Adam Fink | Internal Medicine | 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 | 2006-01-23 |
1851948996 | Luz Angela Soto | Family Medicine | 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 | 2019-08-22 |
1942719000 | Gretchen Hall | Nurse Practitioner | 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 | 2017-09-21 |
1659811453 | Danielle Meehan | Nurse Practitioner | 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 | 2017-02-28 |
1427409010 | Mckenzie Nehaul | Nurse Practitioner | 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 | 2016-06-25 |
1538581558 | Kim Stopczynski | Nurse Practitioner | 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 | 2014-01-10 |
1720328198 | Sara A Beeler | Nurse Practitioner | 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 | 2013-02-22 |
1083903421 | Michael Tyler Scott | Radiology | 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 | 2011-04-06 |
1487973087 | Monique Z Sajjad | Internal Medicine | 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 | 2010-05-20 |
1588999171 | Naima Vera-sommers | Nurse Practitioner | 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 | 2009-10-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
Find all providers in zip 33607 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962970111 | William A Assad, M.d. | Radiology | 3202 Henderson Blvd Ste 204a, Tampa, FL 33609-3043 | 2018-11-06 |
1881011781 | Michelle I Echevarria-colon | Radiology | 16308 E Course Dr, Tampa, FL 33624-1128 | 2014-03-28 |
1407170277 | Sungjune Kim | Radiology | 12901 Bruce B Downs Blvd # 41, Moffitt Cancer Center, Tampa, FL 33612-4742 | 2010-03-23 |
1184617904 | Jennifer W Gerson | Radiology | 15416 N Florida Ave, Tampa, FL 33613-1244 | 2005-08-26 |
1043202245 | William A Assad | Radiology | 601 S Armenia Ave, Tampa, FL 33609-4123 | 2005-08-16 |
1013914647 | Center for Radiation Oncology of Tampa Bay, Inc | Radiology | 2715 W Virginia Ave, Tampa, FL 33607-6327 | 2005-06-28 |
1427674613 | Tampa Oncology and Proton LLC | Radiology | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2020-06-23 |
1306473236 | Tampa Bay Radiosurgery Physicians Group LLC | Radiology | 5935 Webb Rd, Tampa, FL 33615-3219 | 2020-03-23 |
1821624651 | Tampa Bay Radiosurgery Associates LLC | Radiology | 5935 Webb Rd, Tampa, FL 33615-3219 | 2020-03-12 |
1619455987 | Francis Adumata Asamoah | Radiology | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2018-07-30 |
Find all providers in TAMPA |
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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.