SANGAE KIM-PARK, MD, PC (NPI# 1053508200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053508200 |
| Entity Type | Organization |
| Organization Name | SANGAE KIM-PARK, MD, PC |
| Practice Address |
52 Medical Park Dr E Suite 312 Birmingham AL 35235-3430 |
| Practice Telephone | 2057026602 |
| Practice Fax Number | 2058363190 |
| Mailing Telephone | 2057026602 |
| Mailing Fax Number | 2058363190 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2019-10-08 |
| Authorized Official Name | MR. CHULWON PARK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2057026602 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 28332 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
52 MEDICAL PARK DR E SUITE 312 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35235-3430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548261498 | Wayne Paris Hyatt Jr. | Ophthalmology | 52 Medical Park Dr E, Ste 211, Birmingham, AL 35235-3430 | 2005-08-02 |
| 1083001523 | William W Recknor | Nurse Practitioner | 52 Medical Park Dr E, Ste 115, Birmingham, AL 35235-3430 | 2015-04-22 |
| 1316337702 | Matthew Collins | Physician Assistant | 52 Medical Park Dr E, Suite Number 308, Birmingham, AL 35235-3430 | 2015-01-23 |
| 1205190097 | Small Steps Pediatrics, PC | Pediatrics | 52 Medical Park Dr E, Suite 201, Birmingham, AL 35235-3430 | 2012-06-27 |
| 1871877944 | Samuel Meadows | Physical Therapist | 52 Medical Park Dr E, Suite 115, Birmingham, AL 35235-3430 | 2011-10-06 |
| 1245530955 | Orthoeast, PC | Orthopaedic Surgery | 52 Medical Park Dr E, Suite 220, Birmingham, AL 35235-3430 | 2010-10-27 |
| 1649407446 | Central Alabama Spine Center | Chiropractor | 52 Medical Park Dr E, Suite 219, Birmingham, AL 35235-3430 | 2009-06-18 |
| 1528204864 | Mary Eastis Boyer | Nurse Anesthetist, Certified Registered | 52 Medical Park Dr E, Suite 321, Birmingham, AL 35235-3434 | 2008-12-16 |
| 1265681779 | Douglas L Rollins | Surgery | 52 Medical Park Dr E, Suite 307, Birmingham, AL 35235-3430 | 2008-09-09 |
| 1750554564 | Vincent Quang Pham | Student in an Organized Health Care Education/Training Program | 52 Medical Park Dr E, Suite 115, Birmingham, AL 35235-3430 | 2008-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972743 | Orthosports Associates, LLC | Durable Medical Equipment & Medical Supplies | 52 Medical Plaza Drive, Suite 220, Birmingham, AL 35235 | 2020-11-04 |
| 1336612456 | Amber Bozeman | Nurse Practitioner | Medical 50 Medical Park East Dr., Birmingham, AL 35235 | 2019-01-11 |
| 1629581517 | Lacey Pody | Psychiatry & Neurology | 48 Medical Park Dr E Ste 159, Birmingham, AL 35235 | 2017-11-14 |
| 1215467873 | Kathy Brooks Nelson | Pharmacist | 5919 Trussville Crossing Parkway, Birmingham, AL 35235 | 2017-06-15 |
| 1306291711 | Melissa Santos Perez | Dentist | 1820 Gadsden Hwy Ste 112, Birmingham, AL 35235 | 2016-05-04 |
| 1548647407 | Anastasia T Nelson | Pediatrics | 3729 Mary Taylor Road, Birmingham, AL 35235 | 2015-04-29 |
| 1922351378 | Bee Ready | Home Health | 615 Meadows Dr, Birmingham, AL 35235 | 2012-10-23 |
| 1245597087 | Erin Nicole Wait | Obstetrics & Gynecology | Eastern Obgyn, 48 Medical Park East Drive Suite 355, Birmingham, AL 35235 | 2012-04-18 |
| 1265701270 | Reliable Transportation LLC | Non-emergency Medical Transport (VAN) | 213 Gasden Hy, Suite 100, Birmingham, AL 35235 | 2011-12-20 |
| 1134412687 | Sarah S Killeen | Anesthesiology | 50 Medical Park Dr. E, Suite 321, Birmingham, AL 35235 | 2011-05-17 |
| Find all providers in zip 35235 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1639718968 | Doctorwellington LLC | Family Medicine | 1500 1st Ave N Unit 37, Birmingham, AL 35203-1872 | 2020-01-03 |
| 1427696400 | Lori Kaye Hess | Family Medicine | 1387 Pierce St, Birmingham, MI 48009-3648 | 2019-12-20 |
| 1033765888 | Alabama Regional Medical Services | Family Medicine | 2800 Wilson Rd Sw, Birmingham, AL 35221-1303 | 2019-08-16 |
| 1104326925 | Alabama Regional Medical Services | Family Medicine | 3200 27th St N Ste C, Birmingham, AL 35207-4554 | 2018-02-19 |
| 1053832089 | Medhelp Shelby, LLC | Family Medicine | 3143 Pelham Parkway, Birmingham, AL 35214 | 2017-06-29 |
| 1740718006 | Alabama Regional Medical Services | Family Medicine | 921 2nd Ave N, Birmingham, AL 35203-3019 | 2017-05-31 |
| 1902333974 | Liberty Wellness Services | Family Medicine | 420 20th St N Ste 2200, Birmingham, AL 35203-3261 | 2017-05-22 |
| 1205361912 | St Vincents Primary Care Patchwork Farms LLC | Family Medicine | 3056 Healthy Way, Suite 100, Birmingham, AL 35243-2434 | 2017-05-01 |
| 1669926861 | My E-physicians, PC | Family Medicine | 1381 Birmingham Blvd, Birmingham, MI 48009-1997 | 2016-08-05 |
| 1740646181 | Ksenia Nikolayevna Blinnikova | Family Medicine | 1201 11th Ave S Ste 410, Birmingham, AL 35205-3423 | 2016-01-14 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35235 |
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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.