SUNG WOONG PARK


Address: 1 Medical Center Blvd, Winston Salem, NC 27157-0001
Phone: 3367162011

SUNG WOONG PARK (NPI# 1033670914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033670914
Entity Type Individual
Full Name SUNG WOONG PARK
Practice Address 1 Medical Center Blvd
Winston Salem
NC 27157-0001
Mailing Address 100 Misty Woods Cir
Apt A
Chapel Hill
NC 27514-2478
Practice Telephone 3367162011
Enumeration Date 2019-03-25
Last Update Date 2019-03-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers SUNG PARK

NPI Name Taxonomy Address Enumeration
1558927913 Sung Uk Park Acupuncturist 22001 Jamaica Ave Fl 2, Queens Village, NY 11428-2140 2019-05-11
1922493345 Sung Keun Park Dentist 467 S Davy Crockett Pkwy Ste 1, Morristown, TN 37813-1995 2015-04-02
1073864831 Sung Ho Park Acupuncturist 700 Palisadium Dr, Cliffside Park, NJ 07010-3239 2012-09-19
1538427786 Sung Park Dentist 6804 43rd Ave Fl 1, Woodside, NY 11377-5153 2012-04-25
1144407230 Sung Ah Park Acupuncturist 670 E Commonwealth Ave # A, Fullerton, CA 92831-4514 2008-01-30
1386256576 Sung Park Physical Therapist 339 Flanders Rd, East Lyme, CT 06333-1700 2020-08-19
1962998070 Sung Park Pharmacist 13410a Guy R Brewer Blvd, Jamaica, NY 11434-3728 2018-07-02
1154860104 Sung H Park Orthotic Fitter 5602 Oakham Pl, Centreville, VA 20120-5214 2017-02-22
1720532344 Sung Seong Park Dentist 530 S Maiden Ln, Joplin, MO 64801-3084 2016-08-11
1952690125 Sung Mi Park Acupuncturist 4747 Hallowed Strm, Ellicott City, MD 21042-7902 2011-03-28

Office Location

Street Address 1 MEDICAL CENTER BLVD
City WINSTON SALEM
State NC
Zip Code 27157-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801495387 Gillian Grace Winter Internal Medicine 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2020-10-26
1679188122 Nicholas Alexander Perri Nurse Anesthetist, Certified Registered 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2020-09-11
1760096069 Taylor Victoria Ellen Mcghee Pharmacist 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2020-09-03
1083223655 Ruth Barber Registered Nurse 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2020-07-29
1619594777 Elizabeth Grace St. Amand Internal Medicine 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2020-07-06
1932725116 Maxwell Joseph Brenner Student in an Organized Health Care Education/Training Program 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2020-06-23
1184249393 Adaku Anike Nurse Practitioner 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2020-06-12
1659996445 Christie Alexa Smesko Physician Assistant 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2020-06-08
1093337081 Geoffrey Alexander Reid Jones Physician Assistant 1 Medical Center Blvd, Winston Salem, NC 27157-6769 2020-05-12
1306468608 Emmaline Katherine Stilp Physician Assistant 1 Medical Center Blvd, Winston Salem, NC 27157-0001 2020-05-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255960241 Alexandra Marie Balmaceda Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 2020-04-02
1164916680 Jorie Elizabeth Gatts Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 2018-06-18
1932606555 Alexi Rae Ellington Webb Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 2018-04-10
1851896674 Wasim Muhammad Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 2018-03-25
1336643535 Phillip Martin Kostelic Student in an Organized Health Care Education/Training Program Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 2018-03-21
1831693324 Aleah Bond Student in an Organized Health Care Education/Training Program Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 2018-03-20
1134644859 Ilan Binyamin Klein Urology Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 2017-08-03
1023467529 Edward John Doyle IIi Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 2016-06-07
1477917888 Jordan Mae Burner Student in an Organized Health Care Education/Training Program Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 2016-04-12
1174900476 Kate Elise Winterbottom Speech-Language Pathologist 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 2015-05-06
Find all providers in zip 27157

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427659747 Lakisha Henry-simmons Student in an Organized Health Care Education/Training Program 4298 Falcon Rd, Winston Salem, NC 27106-9425 2020-11-03
1366040503 William Tommy Sparks Student in an Organized Health Care Education/Training Program 1012 S Hawthorne Rd, Winston Salem, NC 27103-4419 2020-10-10
1386258432 Valerie Miller Student in an Organized Health Care Education/Training Program 601 Mlk Jr Dr, Winston Salem, NC 27110-0001 2020-09-05
1942814074 Joyous Hawkins Student in an Organized Health Care Education/Training Program 601 S Martin Luther King, Winston Salem, NC 27110-0001 2020-09-05
1326652504 Emily Claire Skoglund Student in an Organized Health Care Education/Training Program 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110-0001 2020-09-03
1750903233 Rachel Elizabeth Crespi Student in an Organized Health Care Education/Training Program 3517 Summerfield Ln, Winston Salem, NC 27106-4295 2020-05-07
1023639325 Christopher Gregg Marler Jr. Student in an Organized Health Care Education/Training Program 1 Medical Center Blvd Winston-salem N Surgery Clinic, Winston Salem, NC 27157-0001 2020-04-28
1912526005 Hunter Bright Yancey Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Center 1 Me, Winston Salem, NC 27157-0001 2020-04-09
1033748371 Chukwuweike U Gwam Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Center Medical Center Boul, Winston Salem, NC 27157-0001 2020-04-08
1386273175 Mehrnoosh Ghandili Student in an Organized Health Care Education/Training Program Wake Forest Baptist Health One Medical Center Blvd, Winston Salem, NC 27157-0001 2020-04-03
Find all providers in WINSTON SALEM

Competitor

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City WINSTON SALEM
Zip Code 27157

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Dataset Information

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.

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