AMY PARK (NPI# 1053328625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053328625 |
| Entity Type | Individual |
| Full Name | AMY PARK |
| Credential | MD |
| Practice Address |
106 Irving St Nw Suite 405 South Washington DC 20010-2927 |
| Practice Telephone | 2028776526 |
| Mailing Telephone | 2028776526 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2013-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 35088057 | OH | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
MD037973 | DC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2673156 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437456 | Amy Y Park | Family Medicine | 714 31st St, Union City, NJ 07087-2427 | 2020-11-04 |
| 1194382143 | Amy Park | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2019-05-24 |
| 1013404623 | Amy Kangme Park | Student in an Organized Health Care Education/Training Program | 240 Meeting House Ln, Southampton, NY 11968-5009 | 2018-04-18 |
| 1922333004 | Amy Leanne Park | Optometrist | 10800 Magnolia Avenue, Riverside, CA 92505 | 2009-10-07 |
| 1174856652 | Amy Park | Marriage & Family Therapist | 15317 Rayen St, North Hills, CA 91343-5117 | 2009-09-15 |
| 1831366889 | Amy Marie Park | Obstetrics & Gynecology | 7740 Washington Village Dr, Suite 100, Centerville, OH 45459-4056 | 2008-05-09 |
| 1306811534 | Amy H Park | Psychologist | 9040 Jackson Ave, Tacoma, WA 98431-2871 | 2006-02-21 |
| Street Address |
106 IRVING ST NW SUITE 405 SOUTH |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20010-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295730521 | Anna Park | Ophthalmology | 106 Irving St Nw, Ste 321, Washington, DC 20010-2993 | 2005-06-14 |
| 1275177909 | Rabi Lee | Nurse Practitioner | 106 Irving St Nw, Washington, DC 20010-2927 | 2019-11-06 |
| 1689215527 | Elshaday Teferi | Nurse Practitioner | 106 Irving St Nw, Washington, DC 20010-2927 | 2019-10-02 |
| 1770145708 | Morgan Malpass | Nurse Practitioner | 106 Irving St Nw, Washington, DC 20010-2927 | 2019-06-29 |
| 1285100909 | Bianca Cutler | Nurse Practitioner | 106 Irving St Nw, Washington, DC 20010-2927 | 2018-10-20 |
| 1588164396 | Blen T Sime | Physician Assistant | 106 Irving St Nw, Washington, DC 20010-2927 | 2018-02-19 |
| 1033620794 | Mariah Covington | Psychologist | 106 Irving St Nw, Washington, DC 20010-2927 | 2017-10-20 |
| 1811410822 | Michael Setzer | Genetic Counselor, MS | 106 Irving St Nw, Washington, DC 20010-2927 | 2017-07-21 |
| 1265974703 | Andrea Frances Goergen | Dietitian, Registered | 106 Irving St Nw, Suite 301, Washington, DC 20010-2927 | 2016-11-15 |
| 1497205769 | Andrea Onufrychuk | Nurse Practitioner | 106 Irving St Nw, Suite 2300, Washington, DC 20010-2927 | 2016-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728397 | Blueiris LLC | Clinic/Center | 3318 Georgia Ave Nw, Unit 13, Washington, DC 20010 | 2020-10-20 |
| 1700425618 | Eve Kronzek | Audiologist | Children's National Hospital, 111 Michigan Ave Nw, Suite 1250, Washington, Dc, DC 20010 | 2019-12-26 |
| 1366085169 | Jakeline Xochitl Merino | Nurse Practitioner | 106 Irving At Nw, Suite 419, Washington Dc, DC 20010 | 2019-10-24 |
| 1710548110 | Ebrahim Hasan Khan | Student in an Organized Health Care Education/Training Program | 110 Irving St Nw Dept of Int Med, Washington, DC 20010 | 2019-06-26 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| 1316407463 | Rabia Idrees | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Internal Medicine, Washington, DC 20010 | 2019-03-24 |
| 1588124168 | Nishita Patel | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Obstetrics and Gynecology, Washington, DC 20010 | 2019-03-21 |
| 1861958035 | Melissa Ann Williams | Home Health Aide | 3506 Georgia Ave Nw #102, Washington, DC 20010 | 2019-02-13 |
| 1073080602 | Jingzhe Gao | Registered Nurse | Medstar National Rehabilitation Network, 102 Irving Street, Nw, Washington, DC 20010 | 2018-11-01 |
| 1487140737 | Anees Musallam Sr. | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Interventional Cardiology, Washington, DC 20010 | 2018-07-09 |
| Find all providers in zip 20010 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871989749 | Elizabeth Brunn | Obstetrics & Gynecology | 110 Irving St Nw, Dept of Obstetrics and Gynecology, Washington, DC 20010-3017 | 2015-04-08 |
| 1649613829 | Center for Continence and Pelvic Support PC | Obstetrics & Gynecology | 5215 Loughboro Rd Nw, Ste 500, Washington, DC 20016-2618 | 2013-04-08 |
| City | WASHINGTON |
| Zip Code | 20010 |
Please comment or provide details below to improve the information on AMY 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.