DR. KYUNG SUN PARK (NPI# 1114951522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114951522 |
| Entity Type | Individual |
| Full Name | DR. KYUNG SUN PARK |
| Credential | MD |
| Practice Address |
100 Stevens Ave 7th Floor Mount Vernon NY 10550-2600 |
| Mailing Address |
100 Stevens Avenue 7th Floor Mount Vernon NY 10550-2026 |
| Practice Telephone | 9146686366 |
| Mailing Telephone | 9146686366 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2014-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 157978 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00841103 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215321070 | Kyung Hyun Park | Pharmacist | Loma Linda University School of Pharmacy, Shryock Hall, Loma Linda, CA 92350-0001 | 2015-03-19 |
| 1871704916 | Kyung Sook Park | Acupuncturist | 4706 Nathan Hale Dr Apt 304, Annandale, VA 22003-4985 | 2007-05-24 |
| 1669518676 | Kyung Wook Park | Dentist | 44031 Pipeline Plz, Suite 215, Ashburn, VA 20147-5887 | 2007-01-29 |
| 1649287152 | Kyung Sook Park | Specialist | 3484 Stevens Creek Blvd, Suite D, San Jose, CA 95117-1000 | 2006-08-01 |
| 1568454049 | Kyung Soon Park | Specialist | 575 Coal Valley Road, Suite 504, Clairton, PA 15025-3729 | 2005-08-19 |
| 1255996864 | Kyung Joong Park | Naturopath | 530 S 336th St, Federal Way, WA 98003-6383 | 2019-05-08 |
| 1194083154 | Kyung Park | Pathology | 272 Main St, 2f, Stamford, CT 06901 | 2012-04-27 |
| 1013283613 | Kyung Mook Park | Dentist | 1034 N Willis St, Abilene, TX 79603-4622 | 2012-03-28 |
| 1770688269 | Kyung Won Park | Anesthesiology | 1320 West Main Street, Newark, OH 43055 | 2006-09-13 |
| 1942210570 | Kyung I. Park | Psychiatry & Neurology | 12362 Beach Blvd, #10, Stanton, CA 90680-3935 | 2006-08-08 |
| Street Address |
100 STEVENS AVE 7TH FLOOR |
| City | MOUNT VERNON |
| State | NY |
| Zip Code | 10550-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174599682 | Marise St. Charles | Obstetrics & Gynecology | 100 Stevens Ave, 7th Floor, Mount Vernon, NY 10550-2600 | 2006-02-24 |
| 1316468242 | Smile A While Occupational Therapy Services Pllc | Occupational Therapist | 100 Stevens Ave, Mount Vernon, NY 10550-2600 | 2017-06-30 |
| 1265807176 | Philip Pharmacy Solution LLC | Pharmacy | 100 Stevens Ave, Mount Vernon, NY 10550-2600 | 2015-12-03 |
| 1356784961 | Candice Nikisha Fraser | Obstetrics & Gynecology | 100 Stevens Ave, Mount Vernon, NY 10550-2600 | 2013-04-12 |
| 1508091463 | Robert L Harley | Social Worker | 100 Stevens Ave, Mount Vernon, NY 10550-2600 | 2009-05-21 |
| 1700043825 | Miriam N. James D.o. P.C. | Family Medicine | 100 Stevens Ave, Mount Vernon, NY 10550-2600 | 2008-05-16 |
| 1164606265 | Beatric Tina Yonly | Social Worker | 100 Stevens Ave, Suite 1, Mount Vernon, NY 10550-2600 | 2007-12-26 |
| 1184791071 | Miriam N James | Family Medicine | 100 Stevens Ave, Ste 5a, Mount Vernon, NY 10550-2600 | 2006-11-29 |
| 1801988175 | Women Medical Wellness of Westchester, Pllc | Specialist | 100 Stevens Ave, 7th Floor, Mount Vernon, NY 10550-2600 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487240 | Jacqueline Marshall | Technician | 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 | 2020-05-05 |
| 1023529369 | B.t.m. Psychiatric Np Services, Pllc | Nurse Practitioner | 11 W Prospect Ave, 3rd Fl, Suite #5b, Mount Vernon, NY 10550 | 2017-10-13 |
| 1669994174 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 500 E Sanford Blvd, Mount Vernon, NY 10550 | 2017-07-17 |
| 1053869198 | Teresa Turriago I | Social Worker | 487 S. Broadway, Yonkers, New York, NY 10550 | 2016-09-19 |
| 1811340862 | Marcia Samuels Nembhard | Licensed Practical Nurse | 1 Gray Place Apt 4-d, Mount Vernon, NY 10550 | 2016-07-14 |
| 1043665318 | Marshalee Mullings | Registered Nurse | 70 E 4th Street, 2c, Mount Vernon, NY 10550 | 2016-04-25 |
| 1518333228 | Humanities Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 100 Stevens Avenue, Mount Vernon, NY 10550 | 2015-08-17 |
| 1851779458 | Maila Catolico | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-05-14 |
| 1003203266 | Priscilla A. Severe | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-04-24 |
| 1477963254 | Imani Ife Campbell | Licensed Practical Nurse | 323 South 10th Ave, Mt. Vernon, NY 10550 | 2014-05-02 |
| Find all providers in zip 10550 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972882850 | Jba Women's Medical PC | Obstetrics & Gynecology | 129 Urban St, Mount Vernon, NY 10552-3211 | 2011-08-10 |
| 1487872388 | Mount Vernon Womens Clinc Inc Ps | Obstetrics & Gynecology | 111 N. 17th Street, Mount Vernon, WA 98273 | 2007-04-23 |
| 1730257924 | Emily Beth Boyd | Obstetrics & Gynecology | 3130 Veterans Memorial Dr, Mount Vernon, IL 62864-5951 | 2006-12-04 |
| 1114093986 | David C Walters | Obstetrics & Gynecology | 1407 Mcpherson Ave, Mount Vernon, IL 62864-2822 | 2006-11-25 |
| 1912073784 | Womens Health Associates of Southern Illinois, S. C. | Obstetrics & Gynecology | 1708 Jefferson Ave, Mount Vernon, IL 62864-4309 | 2006-11-25 |
| 1326129339 | Nonyelu Iruoma Anyichie | Obstetrics & Gynecology | 105 Stevens Ave Ste 209, Mount Vernon, NY 10550-2682 | 2006-10-17 |
| 1609816578 | Edward Amelmah | Obstetrics & Gynecology | 107 West 4th Street, Mount Vernon, NY 10550 | 2006-06-07 |
| 1174599682 | Marise St. Charles | Obstetrics & Gynecology | 100 Stevens Ave, 7th Floor, Mount Vernon, NY 10550-2600 | 2006-02-24 |
| 1639143555 | Sara C. Rowland | Obstetrics & Gynecology | 111 N 17th St, Mount Vernon, WA 98273-3440 | 2006-02-15 |
| 1871567792 | Daniel C. Bynum | Obstetrics & Gynecology | 215 S 13th St, Mount Vernon, WA 98274-4107 | 2006-02-15 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 10550 |
Please comment or provide details below to improve the information on DR. KYUNG SUN 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.