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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| 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 |
| Street Address |
1 MEDICAL CENTER BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27157-0001 |
| 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 | ||||
| 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 Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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] |
| 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 | ||||
| City | WINSTON SALEM |
| Zip Code | 27157 |
Please comment or provide details below to improve the information on SUNG WOONG 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.