EUGENE S PARK (NPI# 1275654782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275654782 |
| Entity Type | Individual |
| Full Name | EUGENE S PARK |
| Credential | M.D. |
| Practice Address |
201 W 69th Street Sioux Falls SD 57108-2424 |
| Practice Telephone | 6053360635 |
| Practice Fax Number | 6052710543 |
| Mailing Telephone | 6053360635 |
| Mailing Fax Number | 6052710543 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2015-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 9227 | SD | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 5453 | NE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707137 | Eugene L Park | Urology | 40 Medical Park Blvd Ste D, Petersburg, VA 23805 | 2005-06-01 |
| 1578186516 | Eugene Park | Student in an Organized Health Care Education/Training Program | 800 Poly Pl, Brooklyn, NY 11209-7104 | 2020-05-26 |
| 1851929426 | Eugene Park | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-03-30 |
| 1003467697 | Eugene Austin Park | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2019-09-25 |
| 1780244020 | Eugene Park | Pediatrics | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2019-06-18 |
| 1104226935 | Eugene Park | Emergency Medicine | 1200 N State St Rm 1060h, Lac-usc Medical Center, Los Angeles, CA 90033-1029 | 2014-08-29 |
| 1003254079 | Eugene Park | Plastic Surgery | 675 N Saint Clair St Ste 19-250, Chicago, IL 60611-5964 | 2013-06-11 |
| 1548385842 | Eugene Park | Acupuncturist | 4128 W Commonwealth Ave, Suite 101, Fullerton, CA 92833-2565 | 2007-03-19 |
| 1154472546 | Eugene Park | Acupuncturist | 7601 E. Imperial Hwy, Department of Surgery, Downey, CA 90242 | 2007-01-15 |
| 1780749523 | Eugene Park | Pharmacist | 1493 Parsons Ave, Columbus, OH 43207-1230 | 2006-12-22 |
| Street Address |
201 W 69TH STREET |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57108-2424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735764 | Faith Carlson | Counselor | 5621 S. Southeastern Avenue, Suite 5625, Sioux Falls, SD 57108 | 2020-09-18 |
| 1063020196 | Emily Mensen | Physical Therapist | 4700 W 69th St, Sioux Falls, Sioux Falls, SD 57108 | 2020-07-15 |
| 1528695798 | Allison Mcentee | Physician Assistant | 3620 East Prairiewind Street, Sioux Falls, SD 57108 | 2020-03-26 |
| 1265935829 | Sioux Falls Audiology Associates | Clinic/Center | 4948 E. 57th Street, Sioux Falls, SD 57108 | 2018-03-09 |
| 1184124935 | Haley Elizabeth Luond | Chiropractor | 4900 E 57th Street, Suite B, Sioux Falls, SD 57108 | 2018-02-19 |
| 1770098881 | Yinan Zhao | Acupuncturist | 6001 S Sharon Ave Ste 6, Sioux Falls, SD 57108 | 2017-12-12 |
| 1447780796 | Sioux Falls Specialty Hospital, LLP | Special Hospital | 7600 South Minnesota Ave, Sioux Falls, SD 57108 | 2017-06-19 |
| 1952831786 | Brock T Nelsen | Dentist | 5121 S Solberg Ave #120, Sioux Falls, SD 57108 | 2017-06-14 |
| 1629517552 | Sarah Kenyon | Chiropractor | 6116 S Lyncrest Ave Ste 105, Sioux Falls, SD 57108 | 2017-02-12 |
| 1386029460 | Michelle Anne Pliska | Counselor | 5621 Southeastern Ave, Sioux Falls, SD 57108 | 2015-07-30 |
| Find all providers in zip 57108 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386692291 | Robert C Johnson | Urology | 1200 S Euclid Ave, Ste # 212, Sioux Falls, SD 57105-7703 | 2006-05-04 |
| 1588612469 | Janet E Smith | Urology | 1700 S Minnesota Ave, Sioux Falls, SD 57105-1723 | 2006-05-04 |
| 1245619543 | Dennis Thum | Urology | 201 W 69th St, Sioux Falls, SD 57108 | 2015-05-20 |
| 1780022921 | Lauren Wood Thum | Urology | 201 W 69th St, Sioux Falls, SD 57108 | 2013-06-10 |
| 1295901460 | Nathan Andrew Bockholt | Urology | 201 W 69th St, Sioux Falls, SD 57108-2403 | 2008-05-07 |
| 1558542738 | Kurt Eeg | Urology | 1600 W 22nd St, Sioux Falls, SD 57105-1521 | 2007-11-16 |
| 1548478118 | David Charles Arend | Urology | 201 W 69th St, Sioux Falls, SD 57108-2403 | 2007-05-18 |
| 1912121229 | Brian David Lindaman | Urology | 201 W 69th St, Sioux Falls, SD 57108-2403 | 2007-04-11 |
| 1831265727 | Sanford Clinic | Urology | 1201 S Euclid Ave, Suite 201, Sioux Falls, SD 57105-7700 | 2006-11-24 |
| 1912093881 | North Central Urology PC | Urology | 1700 S Minnesota Ave, Sioux Falls, SD 57105-1723 | 2006-10-05 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57108 |
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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.