DR. MICHAEL PARK (NPI# 1043659956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043659956 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL PARK |
| Credential | M.D. |
| Practice Address |
2401 W University Ave Muncie IN 47303-3428 |
| Mailing Address |
4811 Woodrow Ave Unit 202 Austin TX 78756-5803 |
| Practice Telephone | 3472268009 |
| Mailing Telephone | 3472268009 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 286449 | NY | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 01078485A | IN | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 286449 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Saint Christopher Dr, Ashland, KY 411017034 | 6068333333 | |
| 155 Crystal Run Rd, Middletown, NY 109414028 | 8457036999 | 8457036297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902393390 | Michael Sehyun Park | Pharmacist | 2920 Inland Empire Blvd Ste 112, Ontario, CA 91764-6581 | 2018-04-20 |
| 1932289030 | Michael Kwansup Park | Physical Medicine & Rehabilitation | 1940 Webster St, 2nd Floor, Oakland, CA 94612-2920 | 2006-10-16 |
| 1942229505 | Michael K Park | Family Medicine | 3445 Woody Crk, Evergreen, CO 80439-7996 | 2006-07-18 |
| 1730135641 | Michael David Park | Dentist | 1200 N Vermont Ave, Suite B, Los Angeles, CA 90029-1760 | 2006-05-25 |
| 1942204680 | Michael Park | Allergy & Immunology | 430 W Centre Ave, Portage, MI 49024-5304 | 2005-06-10 |
| 1013514777 | Michael Park | Case Manager/Care Coordinator | 515 Columbia Ave Ste 200, Los Angeles, CA 90017-1209 | 2020-10-06 |
| 1457906257 | Michael Y Park | Dentist | 12793 Laurel Bowie Rd, Laurel, MD 20708-2606 | 2019-08-08 |
| 1831611177 | Michael Park | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2017-07-07 |
| 1194270231 | Michael H Park | Dentist | 330 W 58th St, Apt 9p, New York, NY 10019-1827 | 2016-08-18 |
| 1225489347 | Michael Adam Park | Optometrist | 1801 N 3rd St, Coeur D Alene, ID 83814-3400 | 2016-06-30 |
| Street Address |
2401 W UNIVERSITY AVE |
| City | MUNCIE |
| State | IN |
| Zip Code | 47303-3428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778894 | Adesola Awomolo | Internal Medicine | 2401 W University Ave, Muncie, IN 47303 | 2005-05-23 |
| 1235740846 | Kalee Danielle Gerber | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-08-17 |
| 1295343903 | Elizabeth Ann Ewer | Registered Nurse | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-07-20 |
| 1043838261 | Bailey Noel Cole | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-07-14 |
| 1205454857 | Dylan L Holcomb | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-07-10 |
| 1972124451 | David Andrew Price | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-05-06 |
| 1396366969 | David Arthur Schmitz | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-05-05 |
| 1093336943 | Donald Brock Smith | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-05-01 |
| 1629699772 | Jared Blake Salisbury | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-04-29 |
| 1831718451 | Morgan Perkins | Dietitian, Registered | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790726 | Elisabeth Marriah Bernal | Nurse Practitioner | 2525 W University Ave Suite 300, Muncie, IN 47303 | 2018-11-27 |
| 1013413806 | Charles Austin Curtis | Student in an Organized Health Care Education/Training Program | Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 | 2018-04-02 |
| 1730607359 | Ronald Settles | Home Health | 1812 Carver Dr, Muncie, IN 47303 | 2017-09-04 |
| 1932635034 | Abigail Chilsen | Student in an Organized Health Care Education/Training Program | 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 | 2017-05-10 |
| 1780117176 | Adil Khan | Internal Medicine | Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2017-04-04 |
| 1508212044 | Erick Reece Christensen | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 | 2016-05-13 |
| 1700230075 | Mallory Nebergall | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2016-04-22 |
| 1811341282 | Padmini Parameswaran | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2016-04-21 |
| 1437557345 | Great Lakes Family Dental Group-muncie, P.C. | Dentist | 1003 W. Mcgalliard Road, Muncie, IN 47303 | 2014-12-09 |
| 1194145185 | Swetha Boddeda | Student in an Organized Health Care Education/Training Program | 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2014-04-17 |
| Find all providers in zip 47303 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609371632 | Lauren Elizabeth Gnagy | Hospitalist | 221 N Celia Ave, Muncie, IN 47303-4609 | 2018-03-30 |
| 1407383094 | Jose Marco Julian Ja Ruiz De Luzuriaga Mendezona | Hospitalist | 2525 W University Ave Ste 401, Muncie, IN 47303-3433 | 2017-05-15 |
| 1851827935 | Trenton Schmale | Hospitalist | 221 N Celia Ave, Muncie, IN 47303-4609 | 2017-05-10 |
| 1922457217 | Clifford Sander Hecht | Hospitalist | 2401 W University Ave, Hospitalist Department, Muncie, IN 47303-3428 | 2016-06-07 |
| 1396033320 | Ritvika Panghal | Hospitalist | 2401 W University Ave, Muncie, IN 47303-3428 | 2011-07-11 |
| 1952533697 | Neelakanta Dadi | Hospitalist | 2401 W University Ave, Rm 0656, Muncie, IN 47303-3428 | 2009-08-13 |
| 1043462393 | Sri Krishna Vasireddy | Hospitalist | 2401 W University Ave, Ball Memorial Hospital, Muncie, IN 47303-3428 | 2008-10-17 |
| 1598938037 | Indiana University Health Ball Memorial Physicians, Inc. | Hospitalist | 2401 W University Ave, Muncie, IN 47303-3428 | 2008-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447865159 | Nichole Renee Sebesky | Hospitalist | 629 Park Dr, Franklin, IN 46131-7685 | 2020-09-10 |
| 1407239114 | Thomas Ryan Cervone | Hospitalist | Tristar Southern Hills Medical, 391 Wallace Road, Nashville, IN 37211 | 2015-06-30 |
| 1104194547 | Select Specialty Hospital - Evansville, LLC | Hospitalist | 400 Se 4th St, Evansville, IN 47713-1206 | 2011-12-13 |
| 1073826780 | Indiana University Health Starke Hospital LLC | Hospitalist | 102 East Culver Road, Knox, IN 46534-2216 | 2010-07-22 |
| 1295863199 | Jason S. Henderson | Hospitalist | 6404 Cotton Bay Dr N, Indianapolis, IN 46254-4528 | 2007-03-01 |
| 1619087707 | Shelene S. Ruggio | Hospitalist | 503 Steeplechase Dr, Auburn, IN 46706-9127 | 2006-08-30 |
| 1427161801 | Krishna Datta | Hospitalist | 2520 E. Dupont Road, Fort Wayne, IN 46825 | 2006-08-17 |
| 1003884404 | Srinivasu Kesa | Hospitalist | 3471 Muirfield Way, Carmel, IN 46032 | 2006-03-10 |
| 1154321099 | Johnson Memorial Hospital | Hospitalist | 1155 W Jefferson St, Ste 202, Franklin, IN 46131-2732 | 2005-07-21 |
| 1598387250 | Dana Oberg | Hospitalist | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2020-05-15 |
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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.