JOHN Y PARK (NPI# 1316936115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316936115 |
| Entity Type | Individual |
| Full Name | JOHN Y PARK |
| Credential | MD |
| Practice Address |
226 S Woods Mill Rd Ste 37w Chesterfield MO 63017-3662 |
| Mailing Address |
Po Box 790379 Saint Louis MO 63179-0379 |
| Practice Telephone | 3145235300 |
| Practice Fax Number | 3144343191 |
| Mailing Telephone | 3145235300 |
| Mailing Fax Number | 3144343191 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2017-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 108562 | MO | Allopathic & Osteopathic Physicians |
| Y | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
108562 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RAILROAD MEDICARE | P00186664 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558718437 | John Park | Student in an Organized Health Care Education/Training Program | 8829 Hawthorne Ct, Ellicott City, MD 21043-3317 | 2016-05-19 |
| 1093134488 | John J. Park | Dentist | 5805 Silver Hill Rd Ste G, District Heights, MD 20747-1171 | 2014-04-14 |
| 1811265697 | John Park | Chiropractor | 2600 Walnut Ave Ste F, Tustin, CA 92780-7032 | 2011-12-07 |
| 1467759324 | John Park | Chiropractor | 256 N Sam Houston Pkwy E, Houston, TX 77060-2008 | 2011-02-11 |
| 1215168109 | John Ho Park | Radiology | 3901 Rainbow Blvd # Ms 4033, University of Kansas Medical Center, Kansas City, KS 66103-2937 | 2009-07-27 |
| 1063605988 | John Park | Case Manager/Care Coordinator | 600 Union Ave Apt B, Santa Maria, CA 93455-5327 | 2007-08-23 |
| 1144320292 | John Wonil Park | Anesthesiology | 7811 Courtney Manor Ln, Katy, TX 77494-6575 | 2006-09-25 |
| 1972538221 | John Park | Acupuncturist | 3815 1/2 Ocean View Blvd, Montrose, CA 91020-2125 | 2006-07-12 |
| 1205862075 | John Johghyun Park | Anesthesiology | 310 Egg Harbor Rd, Sewell, NJ 08080-1854 | 2006-06-24 |
| 1730181454 | John J Park | Dentist | 1079 Chambers St, Eugene, OR 97402-3706 | 2005-08-12 |
| Street Address |
226 S WOODS MILL RD STE 37W |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-3662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223355 | Hannah-ngoc T Ha | Surgery | 226 S Woods Mill Rd, Suite 49w, Chesterfield, MO 63017-3662 | 2005-05-23 |
| 1336633494 | Allison R Schwed | Audiologist | 226 S Woods Mill Rd, Ste 58w, Chesterfield, MO 63017-3662 | 2018-06-21 |
| 1912440611 | Sheldon L Davis Md Inc | Otolaryngology | 226 S Woods Mill Rd, Suite 48w, Chesterfield, MO 63017-3662 | 2016-11-29 |
| 1134670367 | Endocrine Associates, LLC | Internal Medicine | 226 S Woods Mill Rd, Ste 40 W, Chesterfield, MO 63017-3662 | 2016-10-24 |
| 1023561156 | Wuca - Woodsmill LLC | Clinic/Center | 226 S Woods Mill Rd, Suite 36w, Chesterfield, MO 63017-3662 | 2016-07-25 |
| 1619329398 | Meghan M Leaders | Audiologist | 226 S Woods Mill Rd, Suite 37w, Chesterfield, MO 63017-3662 | 2016-07-06 |
| 1669844932 | Scott Thouvenot | Nurse Practitioner | 226 S Woods Mill Rd, Suite 43 West, Chesterfield, MO 63017-3662 | 2015-10-27 |
| 1518368265 | Chesterfield Cardiac Care, Inc. | Internal Medicine | 226 S Woods Mill Rd, 44w, Chesterfield, MO 63017-3662 | 2014-09-12 |
| 1184038614 | Whitney Lupo | Audiologist | 226 S Woods Mill Rd, Suite 37w, Chesterfield, MO 63017-3662 | 2014-06-12 |
| 1700219862 | Kelly Beck | Nurse Practitioner | 226 S Woods Mill Rd, 43 West, Chesterfield, MO 63017-3662 | 2013-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 207YX0602X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngic Allergy |
| An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578809687 | Midwest Medical Services, P.C. | Otolaryngology | 1324 Clarkson Clayton Ctr, #301, Ellisville, MO 63011-2145 | 2012-12-17 |
| 1003336819 | Hodag Medical Services, LLC | Otolaryngology | 4800 Mexico Rd Ste 103, Saint Peters, MO 63376-1666 | 2017-06-22 |
| 1396861498 | Erich Mertensmeyer | Otolaryngology | 1229 E Seminole St, Ste 520, Springfield, MO 65804-2227 | 2007-03-21 |
| 1588723795 | Anthony F Porto Jr. | Otolaryngology | 1010 Carondelet, St # 121, Kansas City, MO 64114 | 2006-12-06 |
| 1265511687 | Ear,nose,and Throat Plastic Surgery of Warrensburg, P.C. | Otolaryngology | 706 N Burkarth Rd, Warrensburg, MO 64093-9303 | 2006-11-05 |
| 1932154390 | Southeast Mo Ent Consultants Ltd | Otolaryngology | 150 S Mount Auburn Rd, Ste. 432, Cape Girardeau, MO 63703-4910 | 2006-05-24 |
| City | CHESTERFIELD |
| Zip Code | 63017 |
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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.