DR. MICHAEL HUGH PARK (NPI# 1427108695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427108695 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL HUGH PARK |
| Credential | DO |
| Practice Address |
9040 Fitzsimmons Dr Tacoma WA 98431-1000 |
| Mailing Address |
9040 Reid St Tacoma WA 98431-1100 |
| Practice Telephone | 2539681110 |
| Mailing Telephone | 2539680354 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
468 | NE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902393390 | Michael Sehyun Park | Pharmacist | 2920 Inland Empire Blvd Ste 112, Ontario, CA 91764-6581 | 2018-04-20 |
| 1932289030 | Michael Kwansup Park | Physical Medicine & Rehabilitation | 1940 Webster St, 2nd Floor, Oakland, CA 94612-2920 | 2006-10-16 |
| 1942229505 | Michael K Park | Family Medicine | 3445 Woody Crk, Evergreen, CO 80439-7996 | 2006-07-18 |
| 1730135641 | Michael David Park | Dentist | 1200 N Vermont Ave, Suite B, Los Angeles, CA 90029-1760 | 2006-05-25 |
| 1942204680 | Michael Park | Allergy & Immunology | 430 W Centre Ave, Portage, MI 49024-5304 | 2005-06-10 |
| 1013514777 | Michael Park | Case Manager/Care Coordinator | 515 Columbia Ave Ste 200, Los Angeles, CA 90017-1209 | 2020-10-06 |
| 1457906257 | Michael Y Park | Dentist | 12793 Laurel Bowie Rd, Laurel, MD 20708-2606 | 2019-08-08 |
| 1831611177 | Michael Park | Student in an Organized Health Care Education/Training Program | 350 Engle St, Englewood, NJ 07631-1808 | 2017-07-07 |
| 1194270231 | Michael H Park | Dentist | 330 W 58th St, Apt 9p, New York, NY 10019-1827 | 2016-08-18 |
| 1225489347 | Michael Adam Park | Optometrist | 1801 N 3rd St, Coeur D Alene, ID 83814-3400 | 2016-06-30 |
| Street Address |
9040 FITZSIMMONS DR |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669464483 | Michele Stone | Nurse Anesthetist, Certified Registered | 9040 Fitzsimmons Dr, Mced, Tacoma, WA 98431-1000 | 2005-08-18 |
| 1689175143 | Mitchell Anthony Lion | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2018-02-21 |
| 1295054906 | Gregory Robert Pittman | Emergency Medicine | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-05-19 |
| 1275852139 | Rebecca Megan Ortolano | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-05-18 |
| 1104144906 | Victor Young Yu | General Practice | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-05-04 |
| 1841517604 | Ian D Funnell | General Practice | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-05-03 |
| 1609192095 | Michael Lanton | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-04-11 |
| 1538484399 | Paul Mitchell Houghtaling | General Practice | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-04-05 |
| 1861717217 | Efrain Rivera | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-03-29 |
| 1518280460 | Emilie Belle Duclos Fitzpatrick | General Practice | 9040 Fitzsimmons Dr, Tacoma, WA 98431-1000 | 2010-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992001820 | Milton Bleiweiss | Radiology | 3110 N Narrows Dr, Tacoma, WA 98407-1516 | 2011-02-10 |
| 1144480245 | Brian Michael Boldt | Radiology | Madigan Army Medical Ctr Department Of, 9040 Fitzsimmons Drive, Tacoma, WA 98431-0001 | 2008-06-11 |
| 1790986461 | Amy Guttmann | Radiology | 1201 Pacific Ave Ste 400, Tacoma, WA 98402-4381 | 2007-05-30 |
| 1316039985 | Jill D Robinson | Radiology | 2326 Browns Point Blvd Ne, Tacoma, WA 98422-2314 | 2006-09-29 |
| 1225065162 | James Hwiyoung Chang | Radiology | 9040 Jackson Ave Madigan Amc, Tacoma, WA 98431-2010 | 2006-06-27 |
| 1881642668 | Alexander Serra | Radiology | 5426 Hyada Blvd Ne, Tacoma, WA 98422-1620 | 2006-05-04 |
| 1992703474 | James A. Nudelman | Radiology | 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 | 2005-07-08 |
| 1841658598 | Gensuke Akaike | Radiology | 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 | 2016-02-09 |
| 1194115626 | Matthew Grant | Radiology | 9040 Jackson Ave, Tacoma, WA 98431-1000 | 2015-02-04 |
| 1487073979 | Bryce Allen Merritt | Radiology | 1304 Fawcett Ave, Tacoma, WA 98402-1911 | 2014-04-10 |
| Find all providers in TACOMA | ||||
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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.