DR. RICHARD KYUNGHO PARK (NPI# 1407125164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407125164 |
| Entity Type | Individual |
| Full Name | DR. RICHARD KYUNGHO PARK |
| Credential | MD |
| Practice Address |
331 Skidder Trl Truckee CA 96161-3931 |
| Practice Telephone | 5305620792 |
| Practice Fax Number | 5305620792 |
| Mailing Telephone | 5305620792 |
| Mailing Fax Number | 5305620792 |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2011-12-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
GFE9239 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518525054 | Richard Park | Dentist | 6942 Lindner Dr, Franklin, WI 53132-8904 | 2019-05-30 |
| 1154349132 | Richard Park | Family Medicine | 703 W Martin, Ms 49-2, San Antonio, TX 78207-3110 | 2006-07-17 |
| 1982694410 | Richard Eldon Park | Anesthesiology | 565 Centre View Blvd, Crestview Hills, KY 41017-3444 | 2005-10-26 |
| 1306843669 | Richard I. Park | Dentist | 5415 Sw Westgate Dr, Suite 207, Portland, OR 97221-2409 | 2005-07-01 |
| 1306369160 | Richard Park | Marriage & Family Therapist | 1136 S Delano Ct W Ste B201, Chicago, IL 60605 | 2017-07-24 |
| 1174718134 | Richard Park | Internal Medicine | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 | 2007-09-12 |
| 1295813053 | Richard Allen Park | Hospitalist | 2500 Merced Street, San Leandro, CA 94577-4201 | 2006-11-01 |
| 1568579027 | Richard Park | Internal Medicine | 87 N Airlite St, Suite #100, Elgin, IL 60123-4988 | 2006-08-23 |
| 1871517292 | Richard L. Park | Social Worker | 1921 E Yandell Dr, El Paso, TX 79903-3416 | 2006-07-27 |
| 1114985298 | Richard Park | Emergency Medicine | 175 Community Dr, Great Neck, NY 11021-5502 | 2006-05-01 |
| Street Address |
331 SKIDDER TRL |
| City | TRUCKEE |
| State | CA |
| Zip Code | 96161-3931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558716175 | Elevation Chiropractic Dr Michael Colpitts Dc Inc | Chiropractor | 11425 Donner Pass Road, Suite 12a, Truckee, CA 96161 | 2016-05-02 |
| 1215365218 | California Emergency Physicians Medical Group, A Professional Corp | Emergency Medicine | 2104 N. Village Drive, Suite L, Truckee, CA 96161 | 2013-10-29 |
| 1336433838 | Richard Walter Lutz | General Practice | 6123 Rocky Point Circle, Truckee, CA 96161 | 2011-06-02 |
| 1528395779 | Sharon Mayo | Doula | 11335 Alder Drive, Truckee, CA 96161 | 2009-11-09 |
| 1598098139 | Ryan Michael Solberg | Orthotic Fitter | 10361 Estates Drive, Truckee, CA 96161 | 2009-09-15 |
| 1538392972 | Peggie J Wiseman | Social Worker | 10356 Donner Pass Rd., Turckee, CA 96161 | 2009-09-02 |
| 1033382031 | Polly M Ryan | Marriage & Family Therapist | 10956 Denner Pass Rd, Ste 360, Truckee, CA 96161 | 2008-04-10 |
| 1275721920 | Zoe K Cahill | Massage Therapist | 10116 Jibboom St, Truckee, CA 96161 | 2007-10-09 |
| 1285828335 | Cathy Joan Taylor | Chiropractor | 12068-b Donner Pass Road, Truckee, CA 96161 | 2007-08-31 |
| 1952439887 | Tyson Sumner Lechner | Dentist | 11075 Donner Pass Rd, Truckee, CA 96161 | 2007-03-01 |
| Find all providers in zip 96161 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073159406 | Bh Ent Group Inc | Otolaryngology | 9033 Wilshire Blvd Ste 409, Beverly Hills, CA 90211-1847 | 2019-11-20 |
| 1942719570 | Beverly Hills Head and Neck Associates | Otolaryngology | 9401 Wilshire Blvd Ste 650, Beverly Hills, CA 90212-2913 | 2017-09-27 |
| 1083135065 | Jeffrey Jumaily Md Inc | Otolaryngology | 8816 Burton Way # 1, Beverly Hills, CA 90211-1715 | 2017-06-29 |
| 1558881771 | Bel Air Surgical Institute | Otolaryngology | 11847 Wilshire Blvd Ste 302, Los Angeles, CA 90025-6634 | 2017-06-20 |
| 1912371352 | Ent Surgical Specialists Inc. | Otolaryngology | 6424 W Olympic Blvd, Los Angeles, CA 90048-5347 | 2015-11-23 |
| 1437536216 | Kiersten L. Riedler | Otolaryngology | 5405 Oberlin Dr Fl 2, San Diego, CA 92121-1700 | 2015-04-30 |
| 1114344025 | Ryan M Casserly | Otolaryngology | 966 Cass St Ste 250, Monterey, CA 93940-4541 | 2014-03-28 |
| 1558798611 | Stephen Dow Proffitt | Otolaryngology | 172 Admiral Way, Costa Mesa, CA 92627-1397 | 2013-10-03 |
| 1447693973 | Jacob Lee Wester | Otolaryngology | 200 Medical Plaza Driveway Ste 550, Ucla Department of Head and Neck Surgery, Los Angeles, CA 90095-0001 | 2013-04-15 |
| 1417294174 | Entegrative Otolaryngology PC | Otolaryngology | 1144 Sonoma Ave Ste 101, Santa Rosa, CA 95405-4812 | 2013-01-14 |
| Find all providers with the same taxonomy | ||||
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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.