SUWON PARK (NPI# 1265706402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265706402 |
| Entity Type | Individual |
| Full Name | SUWON PARK |
| Credential | NP |
| Practice Address |
400 W Arbrook Blvd Ste 100 Arlington TX 76014-3175 |
| Practice Telephone | 8172766850 |
| Practice Fax Number | 8178613023 |
| Mailing Telephone | 8172766850 |
| Mailing Fax Number | 8178613023 |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
745143 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 W ARBROOK BLVD STE 100 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76014-3175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508824145 | Nicole D Johnson | Family Medicine | 400 W Arbrook Blvd Ste 100, Arlington, TX 76014-3175 | 2006-05-03 |
| 1760994149 | Keesha L Wyatt | Nurse Practitioner | 400 W Arbrook Blvd Ste 100, Arlington, TX 76014-3175 | 2017-10-25 |
| 1851699789 | Nicole L Norris | Physician Assistant | 400 W Arbrook Blvd Ste 100, Arlington, TX 76014-3175 | 2011-03-01 |
| 1194833079 | Yong D Chang | Internal Medicine | 400 W Arbrook Blvd Ste 100, Arlington, TX 76014-3107 | 2006-08-29 |
| 1932213402 | Brian Keith Haag | Nurse Practitioner | 400 W Arbrook Blvd Ste 100, Arlington, TX 76014-3175 | 2006-08-19 |
| 1437103520 | Raymond R Westbrook Jr. | Internal Medicine | 400 W Arbrook Blvd Ste 100, Arlington, TX 76014-3107 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629454574 | Melissa Higgins | Physical Therapist | 3050 Center St, Suite 140, Arlington, TX 76014 | 2015-08-03 |
| 1801228739 | A&i Pharmacy LLC | Pharmacy | 100 West Pioneer Pkwy #113b, Arlington, TX 76014 | 2013-08-02 |
| 1275972382 | Dentacare Dental of Collins Pa | Dentist | 2440 S Collins Street, Suite #140, Arlington, TX 76014 | 2013-06-21 |
| 1770826596 | Terry Ngoc Le | Internal Medicine | 3305 Meredith Dr, Arlington, TX 76014 | 2013-03-29 |
| 1407127194 | Top Rx Pharmacy | Pharmacy | 2381 S Collins St, Arlington, TX 76014 | 2012-01-26 |
| 1528344173 | Central Park Dental | Dentist | 3101 S. Center St, Suite #151, Arlington, TX 76014 | 2011-10-27 |
| 1902036239 | Prime Surgical Services | Physician Assistant | 3216 Winston Terrace #411, Arlington, TX 76014 | 2009-07-21 |
| 1588892251 | Yolanda Meashell Snell | Physician Assistant | 3216 Winston Terrace, 411, Arlington, TX 76014 | 2009-07-01 |
| 1780810259 | Cornerstone Pain Management | Anesthesiology | 501 N. Rita Ln, Suite 101, Arlington, TX 76014 | 2009-06-10 |
| 1053551580 | Citimed East | Family Medicine | 3310 S. Watson Road, Arlington, TX 76014 | 2009-02-24 |
| Find all providers in zip 76014 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912576 | Elizabeth Ngoc Pham | Nurse Practitioner | 1502 Grey Willow Ln, Arlington, TX 76002-4631 | 2020-11-02 |
| 1609474063 | Donica West | Nurse Practitioner | 1301 E Bardin Rd Unit 181591, Arlington, TX 76096-4263 | 2020-10-16 |
| 1487268108 | Celyn Iyoke | Nurse Practitioner | 8124 Stowe Springs Ln, Arlington, TX 76002-3775 | 2020-08-31 |
| 1225641558 | Nadia Winston | Nurse Practitioner | 616 Matlock Centre Cir, Arlington, TX 76015-2536 | 2020-08-26 |
| 1205453958 | Lewis Nchoga Nyantika | Nurse Practitioner | 715 N Fielder Rd Ste C, Arlington, TX 76012-4695 | 2020-06-29 |
| 1447874102 | Friday Uhunoma Aigbedion | Nurse Practitioner | 1201 N Watson Rd Ste 268, Arlington, TX 76006-6222 | 2020-05-29 |
| 1063049625 | Mission Metroplex, Inc. | Nurse Practitioner | 212 W South St, Arlington, TX 76010-7134 | 2020-03-24 |
| 1427688381 | Rebecca Baker | Nurse Practitioner | 103 S Mesquite St Ste B, Arlington, TX 76010-1132 | 2020-01-20 |
| 1891325023 | Qutavia Shanay Winding | Nurse Practitioner | 3211 W Division St Trlr 73, Arlington, TX 76012-3478 | 2020-01-15 |
| 1730728403 | Weight Away Health and Wellness | Nurse Practitioner | 1015 Gibbins Rd Ste C, Arlington, TX 76011-5615 | 2019-12-30 |
| Find all providers in ARLINGTON | ||||
Please comment or provide details below to improve the information on SUWON PARK.
| 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.