CHRISTINE CHUNGHEE PARK (NPI# 1215176573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215176573 |
Entity Type | Individual |
Full Name | CHRISTINE CHUNGHEE PARK |
Credential | D.O. |
Practice Address |
13355 E 10 Mile Rd Warren MI 48089-2048 |
Mailing Address |
2848 Homewood Dr Troy MI 48098-2309 |
Practice Telephone | 5867597690 |
Mailing Telephone | 2488405636 |
Enumeration Date | 2009-02-10 |
Last Update Date | 2009-02-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
5101015987 | MI | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184113102 | Christine Park | Behavior Technician | 429 Cedar Ct S, Buffalo Grove, IL 60089-6627 | 2018-05-04 |
1164949780 | Christine S. Park | Psychologist | 6020 Constitution Ave Ne Ste 4, Albuquerque, NM 87110-5931 | 2017-08-24 |
1386038842 | Christine Park | Counselor | 45-445 Pua Inia St, Kaneohe, HI 96744-2937 | 2015-03-23 |
1861698326 | Christine Park | Dentist | Unit 15660, Apo, AP 96271-5660 | 2007-06-22 |
1417947052 | Christine Park | Anesthesiology | 1740 W Taylor St # 3200w, Chicago, IL 60612-7232 | 2005-10-25 |
1760048565 | Christine Park | Speech-Language Pathologist | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2019-05-16 |
1922568500 | Christine Miran Park | Student in an Organized Health Care Education/Training Program | 505 E 70th St, New York, NY 10021-4872 | 2019-03-21 |
1639637408 | Christine S Park | Student in an Organized Health Care Education/Training Program | 345 E 24th St, New York, NY 10010-4020 | 2019-03-11 |
1326532797 | Christine Park | Pharmacist | 2301 Ranch Road 620 S, Lakeway, TX 78734-6240 | 2018-06-19 |
1417479775 | Christine Park | Physician Assistant | 1450 San Pablo St Ste 5100, Los Angeles, CA 90033-4500 | 2017-07-07 |
Street Address |
13355 E 10 MILE RD |
City | WARREN |
State | MI |
Zip Code | 48089-2048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790774131 | Lynette M Sutkowi Toomajian | Internal Medicine | 13355 E 10 Mile Rd, Suite 110, Warren, MI 48089-2048 | 2005-10-18 |
1518284645 | Charlie Lloyd Hilton | Student in an Organized Health Care Education/Training Program | 13355 E 10 Mile Rd, Warren, MI 48089-2048 | 2010-04-29 |
1043534720 | Bi County Medical Practices | Surgery | 13355 E 10 Mile Rd, Suite 200, Warren, MI 48089-2048 | 2010-03-24 |
1922322601 | Bi County Medical Practices | Internal Medicine | 13355 E 10 Mile Rd, Suite 110, Warren, MI 48089-2048 | 2010-03-24 |
1659695336 | Bi County Medical Practices | Pediatrics | 13355 E 10 Mile Rd, Suite 229, Warren, MI 48089-2048 | 2010-03-24 |
1386968063 | Bi County Medical Practices | Family Medicine | 13355 E 10 Mile Rd, Suite 229, Warren, MI 48089-2048 | 2010-03-24 |
1073844106 | Henry Ford Macomb Hospital Corporation | Nurse Anesthetist, Certified Registered | 13355 E 10 Mile Rd, Warren, MI 48089-2048 | 2010-01-29 |
1770814964 | Corrine Joyce Kruse | Nurse Practitioner | 13355 E 10 Mile Rd, Warren, MI 48089-2048 | 2010-01-27 |
1932437274 | Maria L Benson | Nurse Anesthetist, Certified Registered | 13355 E 10 Mile Rd, Warren, MI 48089-2048 | 2009-11-25 |
1043440308 | Samuel I Martisius | Emergency Medicine | 13355 E 10 Mile Rd, Warren, MI 48089-2048 | 2009-07-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477184414 | Delaine Armstong | Pharmacist | 13488 E. 11 Mile Road, Warren, MI 48089 | 2020-01-29 |
1679118236 | Good N Plenty Rx LLC | Pharmacy | 22260 Van Dyke Avenue, Warren, MI 48089 | 2019-11-07 |
1508367111 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 25225 Schoenherr Rd, Warren, MI 48089 | 2018-02-28 |
1932624970 | Jessica D Johnston | Social Worker | 11415 Metter Ave, Warren, MI 48089 | 2017-08-10 |
1508222944 | Dinas Kamaitis | Non-emergency Medical Transport (VAN) | 14560 E 10 Mile, 13993 10 Mile, Warren, MI 48089 | 2016-01-14 |
1770837296 | Michigan Home Exteriors | Durable Medical Equipment & Medical Supplies | 11444 Kaltz Ave, Warren, MI 48089 | 2012-11-06 |
1407100142 | Brenda Tringali | Social Worker | 12220 E 13 Mile, Warren, MI 48089 | 2012-11-02 |
1154606838 | Binary Therapy Alliance,inc | Home Health | 26105 Regency Club Lane, 8, Warren, MI 48089 | 2011-10-13 |
1396920443 | Ron Zachariah | Physical Therapist | Horizon Medical Building, 13251 E Ten Mile Road Suite 400, Warren, MI 48089 | 2008-01-08 |
1053500173 | Anemaecore Abadejos Brodith | Physical Therapist | 26000 Hoover Rd Ste 101, Warren, MI 48089 | 2007-10-15 |
Find all providers in zip 48089 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497959183 | Bi-county Physicians Practices | Radiology | 13355 East 10 Mile Road, Warren, MI 48089-2048 | 2007-06-14 |
1013070135 | Mcnichols Xray Clinic PC | Radiology | 21230 Dequindre Road, Southeast Michigan Surgical Hospital, Warren, MI 48091 | 2006-12-19 |
1598786451 | Walter H Kuhnen | Radiology | 2 12 Crescent Park, Warren, PA 16365 | 2006-07-23 |
1457370330 | Neha Kothari | Radiology | 9 Cotswold Ln, Warren, NJ 07059-6900 | 2006-07-19 |
1871518449 | Radiology Specialties PC | Radiology | 13355 East Ten Mile Rd, Warren, MI 48089-1240 | 2006-07-13 |
1477578144 | Diagnostic Radiology Consultants PC | Radiology | 11800 E Twelve Mile Road, St John Macomb Hospital, Warren, MI 48093 | 2006-07-13 |
1144263153 | Franklin D Wald | Radiology | 9 Nottingham Way, Warren, NJ 07059-6754 | 2006-06-14 |
1881651909 | Robert Palmer Stecher | Radiology | 2900 Sandpiper Trl Se, Warren, OH 44484-5706 | 2006-05-01 |
1972586717 | Great Lakes Mri of Michigan LLC | Radiology | 27301 Schoenherr Rd, Suite 100, Warren, MI 48088-6649 | 2005-11-25 |
1154319259 | Medical Imaging Network Inc | Radiology | 5500 E Market St, Warren, OH 44484-2214 | 2005-10-12 |
Find all providers in WARREN |
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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.