DR. KUN TAE PARK (NPI# 1174785968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174785968 |
| Entity Type | Individual |
| Full Name | DR. KUN TAE PARK |
| Credential | MD, MS |
| Practice Address |
300 Pasteur Dr Sumc Peds Physician Billing Mc 5530 Palo Alto CA 94304-2200 |
| Mailing Address |
750 Welch Road Ste 116 Palo Alto CA 94304-2200 |
| Practice Telephone | 6504987391 |
| Practice Fax Number | 6507257888 |
| Mailing Telephone | 6507235070 |
| Mailing Fax Number | 6504985659 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2011-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
A104493 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
300 PASTEUR DR SUMC PEDS PHYSICIAN BILLING MC 5530 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253415 | Alexandra Cummings | Physician Assistant | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-10-21 |
| 1881291052 | Daniel Choban | Respiratory Therapist, Certified | 300 Pasteur Dr, Palo Alto, CA 94305-2295 | 2020-10-01 |
| 1609483403 | Julia Reed | Nurse Practitioner | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-09-25 |
| 1801402623 | Lakshitha Sivanandan | Nurse Practitioner | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-09-17 |
| 1386259703 | Blair Bigham | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-09-11 |
| 1043823750 | Kianoosh Keyhanian | Pathology | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-08-24 |
| 1437761186 | Grace Kioko | Nurse Practitioner | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-08-22 |
| 1285256743 | James Ryan Houston | Technician, Other | 300 Pasteur Dr, Palo Alto, CA 94304-2203 | 2020-05-07 |
| 1306466768 | Lily Hyunkyung Kim | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Palo Alto, CA 94304-2203 | 2020-04-25 |
| 1033738604 | Taylor Renee Johnson | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891131611 | Rachel Mariko Ruiz | Pediatrics | 750 Welch Rd, Suite 116, Palo Alto, CA 94304-1507 | 2013-05-20 |
| 1295013506 | Warapan Nakayuenyongsuk | Pediatrics | 750 Welch Rd, Suite 116, Palo Alto, CA 94304-1507 | 2011-08-03 |
| 1376834697 | Noelle Hanako Ebel | Pediatrics | 750 Welch Rd Ste 116, Palo Alto, CA 94304 | 2011-04-20 |
| 1134369903 | Michelle Tara Rook | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304 | 2009-03-05 |
| 1801077557 | Rachel S Bensen | Pediatrics | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2007-11-23 |
| 1255474342 | John Kerner | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2007-02-15 |
| 1740322791 | Eric Sibley | Pediatrics | 750 Welch Rd Ste 116, Palo Alto, CA 94304-1508 | 2007-02-13 |
| 1235271354 | Manuel Garcia | Pediatrics | 750 Welch Rd Ste 116, Palo Alto, CA 94304-1508 | 2007-02-13 |
| 1487738811 | Ricardo O Castillo | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-10-24 |
| 1073603247 | Aeri Moon | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-10-16 |
| Find all providers in PALO ALTO | ||||
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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.