DR. JUNG I. PARK (NPI# 1124006523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124006523 |
| Entity Type | Individual |
| Full Name | DR. JUNG I. PARK |
| Credential | M.D. |
| Practice Address |
8825 Crestwood Ave Munster IN 46321-2711 |
| Practice Telephone | 2197469600 |
| Mailing Telephone | 2197469600 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2013-04-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 01032400A | IN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 234393 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225569817 | Jung Park | Student in an Organized Health Care Education/Training Program | 255 Whitney Ave Apt 34, New Haven, CT 06511-3751 | 2017-03-24 |
| 1336681238 | Jung Park | Acupuncturist | 308 Preston Ave, Pasadena, TX 77503-1215 | 2016-11-08 |
| 1275783813 | Jung Sun Park | Dentist | 1860 Alcatraz, Berkeley, CA 94703 | 2008-09-19 |
| 1194919209 | Jung Hoon Park | Dentist | 5249 Duke St Ste 210, Alexandria, VA 22304-2907 | 2007-08-31 |
| 1942291638 | Jung Tae Park | Family Medicine | 13851 Highway 28, Whitwell, TN 37397-5373 | 2005-11-02 |
| 1679004873 | Jung Mi Park | Hospitalist | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2017-03-21 |
| 1417302621 | Jung Park | Technician/Technologist | 11112 Atlantic Ave, South Richmond Hill, NY 11419-1158 | 2016-04-26 |
| 1053601161 | Jung Eun Park | Pediatrics | 6345 Center Dr Bldg 14, Norfolk, VA 23502-4105 | 2011-04-10 |
| 1174855738 | Jung Park | Internal Medicine | 8110 Woodman Ave, Panorama City, CA 91402 | 2010-02-08 |
| 1659517902 | Jung Park | Orthopaedic Surgery | 3401 N Broad St, Outpatient Building 6th Fl., Philadelphia, PA 19140-5103 | 2008-12-16 |
| Street Address |
8825 CRESTWOOD AVE |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801066675 | Vi L. Magerski | Specialist | 1912 45th Ave, Munster, IN 46321-3917 | 2008-03-07 |
| 1740316850 | Lashawn Marie Butler | Specialist | 8031 Madison Ave, Munster, IN 46321 | 2007-02-25 |
| 1700992625 | Terry Wayne Ebert | Specialist | 509 Ridge Rd, Suite 1, Munster, IN 46321-1643 | 2006-08-22 |
| 1629098579 | David Alan Robinson | Specialist | 10110 Donald S Powers Drive, Suite 201a, Munster, IN 46321 | 2006-07-20 |
| 1427212091 | Jeffrey D Meier | Specialist | 757 45th Ave, Ste. 201, Munster, IN 46321-2911 | 2008-07-14 |
| 1689834699 | Muhammad M. Kudaimi | Specialist | 801 Macarthur Blvd, Suite 303, Munster, IN 46321-2915 | 2008-06-12 |
| 1942489307 | Rg Halum Jr Md Urology Inc | Specialist | 800 Macarthur Blvd, Suite 1, Munster, IN 46321-2917 | 2007-11-01 |
| 1265641195 | Suniti Medical Corporation | Specialist | 929 Ridge Rd, Suite 5, Munster, IN 46321-1751 | 2007-05-21 |
| 1154440378 | Zabaneh Medical Corporation | Specialist | 1644 45th Ave, Munster, IN 46321-3970 | 2007-03-28 |
| 1881743920 | Lorin M. Brown, M.d. P.C. | Specialist | 1950 45th Ave, Suite 200, Munster, IN 46321-3917 | 2007-01-09 |
| Find all providers in MUNSTER | ||||
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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.