YONG I PARK (NPI# 1154368819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154368819 |
| Entity Type | Individual |
| Full Name | YONG I PARK |
| Credential | MD |
| Practice Address |
333 N Oxford Valley Rd Suite 510 Fairless Hills PA 19030-2624 |
| Mailing Address |
Po Box 606 Langhorne PA 19047-0606 |
| Practice Telephone | 2159493100 |
| Practice Fax Number | 2159498521 |
| Mailing Telephone | 2157850145 |
| Mailing Fax Number | 2157850161 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2010-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
25MA07120600 | NJ | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
MD421553 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | FIRST MCO | 23-2919275 | 01 |
| PA | HEALTH AMER./HEALTH ASS. | 23-2919275 | 01 |
| PA | AETNA | 1761794 | 01 |
| PA | PROCURA MANAGEMENT | 23-2919275 | 01 |
| PA | AETNA | 1216431 | 01 |
| PA | HIGHMARK BLUE SHIELD | 1630169 | 01 |
| PA | CIGNA | 3252773 | 01 |
| PA | CAPITAL BLUE CROSS | 50062619 | 01 |
| PA | CAPITAL BLUE CROSS | 50067193 | 01 |
| PA | FIRST HEALTH NETWORK | 5747002 | 01 |
| PA | OXFORD | P3656794 | 01 |
| PA | BRAVO | C0838608 | 01 |
| NJ | FIRST MCO | 22-1994560 | 01 |
| PA | DEVON | 23-2993867 | 01 |
| PA | 10451377 | 05 | |
| NJ | HORIZON BCBS OF NJ | 23-2919275 | 01 |
| PA | HEALTH AMERICA/HEALTH ASSURANCE | 23-2919275 | 01 |
| PA | FIRST MCO | 23-2993867 | 01 |
| PA | KHPE, PERSONAL CHOICE, AMERIHEALTH | 2306074000 | 01 |
| PA | RAILROAD MEDICARE | P00451411 | 01 |
| PA | GREAT WEST HEALTHCARE | 23-2919275 | 01 |
| NJ | UNITED HEALTHCARE/OXFORD | 23-2993867 | 01 |
| NJ | AETNA | 1193693 | 01 |
| PA | DEVON | 23-2919275 | 01 |
| PA | UNITED HEALTHCARE/OXFORD | 23-2919275 | 01 |
| NJ | UNITED HEALTHCARE/OXFORD | 23-2919275 | 01 |
| PA | UNITED HEALTHCARE/OXFORD | 23-2993867 | 01 |
| PA | UPMC HEALTH PLAN | 999308 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322495 | Yong Sue Park | Psychologist | 1913 Wilshire Blvd, Los Angeles, CA 90057-3604 | 2020-10-08 |
| 1972027225 | Yong Suel Park | Dentist | 292 Route 94, Vernon, NJ 07462-3181 | 2017-07-28 |
| 1699047407 | Yong Hoon Park | Acupuncturist | 1911 Commercenter East, Suite 107, San Bernardino, CA 92408 | 2012-02-09 |
| 1316238470 | Yong Hwa Park | General Practice | 25676 Island Lake Dr, Novi, MI 48374-2175 | 2011-04-25 |
| 1154560696 | Yong Woon Park | Chiropractor | 5049 Birchwood Ave, Skokie, IL 60077-3349 | 2009-02-06 |
| 1205984317 | Yong J Park | Optometrist | 2609 Foothill Blvd, La Crescenta, CA 91214-3511 | 2007-01-08 |
| 1205913761 | Yong Park | Emergency Medicine | 506 4th St Nw, Jasper, FL 32052-6603 | 2006-11-01 |
| 1497869499 | Yong Ho Park | Surgery | 501 West Riverside Avenue, Superior, MT 59872-0847 | 2006-08-18 |
| 1811374325 | Yong Park | Pharmacist | 520 W Washington St, Sequim, WA 98382-3279 | 2015-05-05 |
| 1922388404 | Yong J Park | Pharmacist | 4801 N Lincoln Ave, Chicago, IL 60625-1915 | 2011-08-28 |
| Street Address |
333 N OXFORD VALLEY RD SUITE 510 |
| City | FAIRLESS HILLS |
| State | PA |
| Zip Code | 19030-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770548653 | John Daniel Rosella | Psychologist | 333 N Oxford Valley Rd, Fairless Hills, PA 19030-2626 | 2006-04-20 |
| 1417301698 | Mid-atlantic Pain Specialists LLC | Specialist | 333 N Oxford Valley Rd, Suite 104, Fairless Hills, PA 19030-2624 | 2016-04-14 |
| 1811375587 | Fairless Hills Psychological | Counselor | 333 N Oxford Valley Rd, Suite # 202, Fairless Hills, PA 19030-2624 | 2015-05-13 |
| 1396123154 | Deborah Stednick | Counselor | 333 N Oxford Valley Rd, Suite 202, Fairless Hills, PA 19030-2624 | 2015-05-13 |
| 1548509839 | Bmc Primary Care Physicians LLC | Family Medicine | 333 N Oxford Valley Rd, Fairless Hills, PA 19030-2624 | 2013-02-06 |
| 1952654535 | Maria Brachelli-pigeon | Marriage & Family Therapist | 333 N Oxford Valley Rd, Suite 502, Fairless Hills, PA 19030-2624 | 2012-10-19 |
| 1972850659 | Andrew N Kang | Dentist | 333 N Oxford Valley Rd, Fairless Hills, PA 19030-2624 | 2012-08-13 |
| 1740426873 | Judith Anne Zdziera | Registered Nurse | 333 N Oxford Valley Rd, Suite 202, Fairless Hills, PA 19030-2624 | 2008-12-18 |
| 1831364355 | Sarah Mcdonald Halloran | Counselor | 333 N Oxford Valley Rd, Suite 202, Fairless Hills, PA 19030-2624 | 2008-04-25 |
| 1154515930 | Newday Behavioral Healthcare | Community/Behavioral Health | 333 N Oxford Valley Rd, 601, Fairless Hills, PA 19030-2624 | 2007-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245758374 | Phyllis Loduca | Dietitian, Registered | 412 Welsford Rd, Fairless Hills, PA 19030 | 2017-09-08 |
| 1184164030 | Michela Faggioni | Student in an Organized Health Care Education/Training Program | Via Giuseppe Casini 29, La Spezia, LA SPEZIA 19030 | 2017-02-26 |
| 1902343650 | Jacklyn Ward | Behavioral Analyst | 405 Chelsea Road, Fairless Hills, PA 19030 | 2017-01-19 |
| 1801342100 | Jean Kim | Dentist | Deon Square, 532 S Oxford Valley Rd, Fairless Hills, PA 19030 | 2016-08-28 |
| 1316380322 | Langhorne Physician Services | Internal Medicine | 333 N Oxford Valley Rd Ste 201, Fairless Hills, PA 19030 | 2013-04-09 |
| 1831423425 | Oxford Crossing Family and Cosmetic Dentistry | Dentist | 333 N. Oxford Valley Road, Suite 505, Fairless Hills, PA 19030 | 2009-09-29 |
| 1861615460 | Arun Kumar Mathur | Dentist | 173 Lincoln Hwy, Fairless Hills, PA 19030 | 2007-04-11 |
| 1629114350 | St. Francis-st Joseph Homes for Children | Psychiatric Residential Treatment Facility | 2 Goble Court, Fairless Hills, Fairless Hills, PA 19030 | 2007-01-29 |
| 1932254604 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 10 Commerce Blvd, Fairless Hills, PA 19030 | 2007-01-24 |
| 1073665253 | Mark E. Rayner | Surgery | 333 N. Oxford Vly Rd, Suite 503, Fairless, PA 19030 | 2007-01-17 |
| Find all providers in zip 19030 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902219702 | Kyle Matthew Weiss | Physical Medicine & Rehabilitation | 501 Cetronia Rd Ste 125, Allentown, PA 18104-9569 | 2014-06-09 |
| 1558771089 | Christian Boris Acharte | Physical Medicine & Rehabilitation | 700 Horizon Circle Ste 206, Chalfont, PA 18914-3967 | 2014-05-06 |
| 1649618349 | David Stephen Mills | Physical Medicine & Rehabilitation | 8775 Norwin Ave Ste 108, North Huntingdon, PA 15642 | 2013-06-05 |
| 1306184858 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 301 E. Pleasant Valley Blvd, Altoona, PA 16602 | 2013-01-17 |
| 1710243787 | Alcinto Steven Guirand | Physical Medicine & Rehabilitation | 1450 Scalp Ave Ste 2100, Johnstown, PA 15904-3374 | 2012-04-04 |
| 1578848651 | Performance Spine and Sports Medicine of Newtown, LLC | Physical Medicine & Rehabilitation | 828 Newtown Yardley Road, A, Newtown, PA 18940 | 2011-10-20 |
| 1588974588 | Greater Philadelphia Pain Management Center PC | Physical Medicine & Rehabilitation | 104 Bailey Dr, North Wales, PA 19454-4526 | 2010-10-12 |
| 1245545813 | Maureen Murphy Ginsburg | Physical Medicine & Rehabilitation | 551 W Mahoning St, Punxsutawney, PA 15767 | 2010-08-08 |
| 1205071297 | Bethia A. Cawley | Physical Medicine & Rehabilitation | 2804 Southampton Rd, Philadelphia, PA 19154-1207 | 2008-12-05 |
| 1891953188 | Paris Hughes | Physical Medicine & Rehabilitation | 2447 N 54th St, Philadelphia, PA 19131-2423 | 2008-05-23 |
| Find all providers with the same taxonomy | ||||
| City | FAIRLESS HILLS |
| Zip Code | 19030 |
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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.