MIN H PARK (NPI# 1336104660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336104660 |
| Entity Type | Individual |
| Full Name | MIN H PARK |
| Credential | MD |
| Practice Address |
217 Wood St California PA 15419 |
| Practice Telephone | 7249383464 |
| Practice Fax Number | 7249388304 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34237L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UMWA | 0089346 | 01 | |
| PA | 000000060531 | 05 | |
| PA | BCBS HMO | 124580 | 01 |
| Street Address |
217 WOOD ST |
| City | CALIFORNIA |
| State | PA |
| Zip Code | 15419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568980712 | Kayla Shinew Collins | Specialist/Technologist | California University of Pa, 250 University Dr. Box #14, California, PA 15419 | 2017-09-07 |
| 1427432061 | Rebecca Mary Thomas | Physician Assistant | 415 Third St, California, PA 15419 | 2015-07-14 |
| 1124149406 | Orthopedic and Sports Physical Therapy Associates Inc | Speech-Language Pathologist | 228 Wood Street, California, PA 15419 | 2007-04-03 |
| 1326127838 | Joni Lee Roh | Specialist/Technologist | 250 University Avenue, California University of Pennsylvania, California, PA 15419 | 2006-11-03 |
| 1144280512 | Randolph Aaron Magone | Chiropractor | University Chiropractic, 346 Third Street, California, PA 15419 | 2006-03-28 |
| 1952423774 | Orthopedic and Sports Physical Therapy Associates Inc Ot | Occupational Therapist | 228 Wood Street, California, PA 15419 | 2007-04-04 |
| 1285679399 | Jodi Deblassio | Specialist | 228 Wood St, California, PA 15419-1049 | 2006-06-20 |
| 1316975931 | Scott Wilson | Specialist | 228 Wood St, California, PA 15419-1049 | 2006-06-30 |
| 1770574352 | Allison Francis Verenna | Family Medicine | 415 3rd St, California, PA 15419-1102 | 2005-11-02 |
| 1265613566 | Beth Theis | Nurse Practitioner | 415 3rd St, California, PA 15419-1102 | 2007-11-15 |
| Find all providers in zip 15419 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801184759 | Lakshmi Lavanya Marella | Family Medicine | 22590 Shady Ct Fl 1, California, MD 20619-5009 | 2011-07-13 |
| 1609005321 | Mitzi Doreen Baladiang Balbona | Family Medicine | Us Hwy 101s, California, CA 93960 | 2009-07-02 |
| 1215114749 | Shah Associates Md LLC | Family Medicine | 23415 Three Notch Rd # Store50, California, MD 20619-4017 | 2008-01-28 |
| 1083897862 | Jefferson City Medical Group, PC | Family Medicine | 606 E Buchanan St, California, MO 65018-1910 | 2007-12-14 |
| 1245264563 | Narasimham Iswara | Family Medicine | 22576 Macarthur Blvd, California, MD 20619-3086 | 2006-07-10 |
| 1730151143 | Capital Region Medical Center | Family Medicine | 704 Buchanan Hwy Sw, California, MO 65018 | 2006-02-02 |
| 1770574352 | Allison Francis Verenna | Family Medicine | 415 3rd St, California, PA 15419-1102 | 2005-11-02 |
| 1851382535 | Marvin Mcgowan | Family Medicine | 1152 Wood St, California, PA 15419-1260 | 2005-11-02 |
| 1952393530 | Janet E Akremi | Family Medicine | 800 W Buchanan St, California, MO 65018-1270 | 2005-08-18 |
| 1821590878 | Christine Ridpath | Family Medicine | 22590 Shady Ct, California, MD 20619 | 2018-03-06 |
| Find all providers in CALIFORNIA | ||||
| City | CALIFORNIA |
| Zip Code | 15419 |
Please comment or provide details below to improve the information on MIN H 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.