DR. YONG PARK (NPI# 1205913761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205913761 |
| Entity Type | Individual |
| Full Name | DR. YONG PARK |
| Credential | MD |
| Practice Address |
506 4th St Nw Jasper FL 32052-6603 |
| Practice Telephone | 3867927200 |
| Practice Fax Number | 3867922084 |
| Mailing Telephone | 3867927200 |
| Mailing Fax Number | 3867922084 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | LL528 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | LL528 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | LL528 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 82060 | 01 |
| FL | MEDICAL LICENSE | LL528 | 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 |
| 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 |
| 1902015415 | Yong S Park | Dentist | 515 West 6th Street, Jacksonville, FL 32206 | 2007-05-21 |
| Street Address |
506 4TH ST NW |
| City | JASPER |
| State | FL |
| Zip Code | 32052-6603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386876902 | Enrique Technologies Inc | Clinic/Center | 506 4th St Nw, Jasper, FL 32052-6603 | 2009-08-14 |
| 1457551970 | H.c. Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 506 4th St Nw, Jasper, FL 32052-6603 | 2007-07-23 |
| 1619173960 | H C Healthcare Inc | General Acute Care Hospital | 506 4th St Nw, Jasper, FL 32052-6603 | 2007-06-25 |
| 1245434216 | H.c. Healthcare, Inc. | General Acute Care Hospital | 506 4th St Nw, Jasper, FL 32052-6603 | 2007-06-13 |
| 1750453155 | H.c. Healthcare, Inc. | Medicare Defined Swing Bed Unit | 506 4th St Nw, Jasper, FL 32052-6603 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700362282 | North Florida Pediatrics, Pa | Pediatrics | 5686 Us Highway 129 South, School Clinic, Jasper, FL 32052 | 2018-07-17 |
| 1467902718 | Anthony James Holden | Non-emergency Medical Transport (VAN) | 1124 Maplewood Rd, Jasper, FL 32052 | 2016-10-11 |
| 1114347143 | Danielle Bryant | Custodial Care Facility | 3181 Nw 111th Pl, Jasper, FL 32052 | 2014-04-17 |
| 1962717538 | Fawaz Abdulraheem | Surgery | Mubarak Al-kabeer Hospital, Street 103, Jabriya, Kuwait City, KWI 32052 | 2010-08-08 |
| 1033447206 | Latia Lumpkin | Home Health | 1001 3rd St Nw, Jasper, FL 32052 | 2009-11-30 |
| 1558540104 | Hamilton Count Council On Aging | Case Management | 1509 S.w. 1st St., Jasper, FL 32052 | 2007-10-31 |
| 1861513665 | Hometown Care | Durable Medical Equipment & Medical Supplies | 107 Hatley Street, Jasper, FL 32052 | 2007-04-02 |
| 1215091699 | Hamilton County School Board | Local Education Agency (LEA) | 4280 S.w. County Rd 152, Jasper, FL 32052 | 2006-12-20 |
| 1689738296 | Hamilton County School Board | Local Education Agency (LEA) | 4280 S. W. County Rd 152, Jasper, FL 32052 | 2006-12-20 |
| 1205925146 | W. Benjamin Norris Jr. | Dentist | 107 First Ave Se, Jasper, FL 32052 | 2006-10-11 |
| Find all providers in zip 32052 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336569359 | Kevin Stevens | Emergency Medicine | 1000 Tn-28, Jasper, TN 37347 | 2014-04-17 |
| 1447411376 | Alina G. Barrett | Emergency Medicine | 1266 Ga Hwy 515, Jasper, GA 30143 | 2008-06-23 |
| 1538100417 | Dean Robert Naden | Emergency Medicine | 2708 Highway 78 East, Jasper, AL 35501 | 2006-06-09 |
| 1912358698 | Alisha Shake | Emergency Medicine | 800 W 9th St, Jasper, IN 47546 | 2016-06-24 |
| 1720466378 | Erynn Thinnes | Emergency Medicine | 800 W 9th St, Jasper, IN 47546-2514 | 2015-05-15 |
| 1811392129 | Debra Sue White | Emergency Medicine | 800 W 9th St, Jasper, IN 47546-2514 | 2014-10-29 |
| 1710392667 | Logan Dellinger | Emergency Medicine | 800 W 9th St, Jasper, IN 47546-2514 | 2014-06-29 |
| 1518377944 | Kyle Patrick Schroering | Emergency Medicine | 800 W 9th St, Jasper, IN 47546 | 2014-05-07 |
| 1841610755 | Heron Emergency Physicians Pllc | Emergency Medicine | 1000 Highway 28, Jasper, TN 37347-3638 | 2014-04-17 |
| 1700200284 | Mh Drive Emergency Physicians Pllc | Emergency Medicine | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2014-02-05 |
| Find all providers in JASPER | ||||
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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.