PARK & ASSOC S C (NPI# 1336339548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336339548 |
| Entity Type | Organization |
| Organization Name | PARK & ASSOC S C |
| Practice Address |
410 Dewey Street Wis Rapids WI 54494 |
| Mailing Address |
Po Box 203 Wisconsin Rapids WI 54495-0203 |
| Practice Telephone | 7154239170 |
| Practice Fax Number | 7153251874 |
| Mailing Telephone | 7154239170 |
| Mailing Fax Number | 7153251874 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2008-03-28 |
| Authorized Official Name | HI YOUNG HONG (PRESIDENT) |
| Authorized Official Telephone | 7154239170 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | WI | Other Service Providers |
| Street Address |
410 DEWEY STREET |
| City | WIS RAPIDS |
| State | WI |
| Zip Code | 54494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114556057 | Danny Thomas O'day | Massage Therapist | 2841 Saratoga St., Wisconsin Rapids, WI 54494 | 2020-04-03 |
| 1588184584 | Debra Lee Eberhardy | Acupuncturist | 400 Daly Avenue, Suite 101, Wisconsin Rapids, WI 54494 | 2017-06-21 |
| 1235687716 | Jessica Lynn Noah | Marriage & Family Therapist | 3930 8th St. So., Ste 101, Wisconsin Rapids, WI 54494 | 2016-09-14 |
| 1700332079 | Tammy Marie Fischer | Social Worker | 3908 8th Street South, Suite 101, Wisconsin Rapids, WI 54494 | 2016-08-28 |
| 1720447675 | Marita Lynn Verhalen | Occupational Therapist | 410 Dewey St, Wisconsin Rapids, WI 54494 | 2016-02-21 |
| 1346656469 | Lori Kroening | Counselor | 2509 8th Street S, Wisconsin Rapids, WI 54494 | 2014-07-09 |
| 1104166305 | Shannon Colleen Huff | Psychologist | 531 3rd St S, Wisconsin Rapids, WI 54494 | 2013-02-25 |
| 1245589787 | Jennifer J Derousseau | Social Worker | 2611 12th Street South, Wisconsin Rapids, WI 54494 | 2012-08-30 |
| 1922200575 | Thomas Harrison Raabe | Optometrist | 132 East Grand Ave, Wisconsin Rapids, WI 54494 | 2007-06-05 |
| 1508901067 | Michael J Downs | Optometrist | 1730 7th St S, Wisconsin Rapids, WI 54494 | 2007-02-21 |
| Find all providers in zip 54494 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835440 | Michael Dale Shoultz | Specialist | 2622 Hoard St, Madison, WI 53704-4827 | 2020-06-11 |
| 1134752934 | Denise Douglass | Specialist | 31 Northstar Ln, Saint Croix Falls, WI 54024-9005 | 2020-02-20 |
| 1164065025 | Susan Jane Janz | Specialist | 1014 W Thomas St, Wausau, WI 54401-5986 | 2019-10-23 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1982161048 | Natalia Roman | Specialist | 725 W Lapham Blvd Apt 17, Milwaukee, WI 53204-3447 | 2019-02-25 |
| 1598231524 | Shanel Marie Jordan | Specialist | 4827 N 76th St, Milwaukee, WI 53218-3826 | 2018-10-17 |
| 1386191799 | Dallas Roger Loukes | Specialist | 323 W Monroe St, Wyocena, WI 53969 | 2016-09-01 |
| 1285084368 | Madison Swim Academy | Specialist | 605 Chase Blvd, Sun Prairie, WI 53590-2382 | 2016-06-20 |
| 1851745905 | Kristyn Zahorik | Specialist | 7515 W Coldspring Rd, Greenfield, WI 53220-2814 | 2016-04-14 |
| 1104297274 | Andrea Renee Keapproth | Specialist | 433 W Washington Ave, Madison, WI 53703-3482 | 2015-10-14 |
| Find all providers with the same taxonomy | ||||
| City | WIS RAPIDS |
| Zip Code | 54494 |
Please comment or provide details below to improve the information on PARK & ASSOC S C.
| 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.