DR. KYEONG HOON PARK (NPI# 1437170826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437170826 |
| Entity Type | Individual |
| Full Name | DR. KYEONG HOON PARK |
| Credential | M.D. |
| Practice Address |
1225 Oakdale Rd Modesto CA 95355-3357 |
| Practice Telephone | 2095576200 |
| Practice Fax Number | 2095576235 |
| Mailing Telephone | 2095576200 |
| Mailing Fax Number | 2095576235 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2015-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A055771 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073523387 | Kyeong Man Park | Dentist | 21 Town Center Way, Hampton, VA 23666-1999 | 2006-08-09 |
| Street Address |
1225 OAKDALE RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-3357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649218322 | Palo Alto Vamc | Clinic/Center | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2006-06-03 |
| 1649802075 | Adrian Angelo Rueda | Social Worker | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2020-02-04 |
| 1437705597 | Cynthia Renee Renfrow | Social Worker | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2019-08-14 |
| 1114446671 | James Luke Blackwell | Social Worker | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2017-09-15 |
| 1982129201 | Arun Chowdhary | Dietitian, Registered | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2017-08-08 |
| 1013459874 | Shamerin Bourang | Social Worker | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2016-11-10 |
| 1407205651 | Kathy Ann Rasmussen | Psychologist | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2016-06-08 |
| 1306295076 | Edward Mcintosh | Social Worker | 1225 Oakdale Rd, Modesto, CA 95355 | 2016-06-03 |
| 1568837557 | Criselda Rosario | Physical Therapist | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2015-12-02 |
| 1578939872 | Brent Kornish | Social Worker | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2015-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194288423 | Nirmal S Rai Md Inc | Internal Medicine | 1930 E Hatch Rd Ste A, Modesto, CA 95351-5132 | 2019-04-12 |
| 1720598097 | Verdant Health Care, Inc. | Internal Medicine | 400 E Orangeburg Ave Ste 3, Modesto, CA 95350-5365 | 2017-10-02 |
| 1649675778 | David H Lyon A Professional Corporation | Internal Medicine | 4701 Sisk Rd, Suite 103, Modesto, CA 95356-9320 | 2014-10-31 |
| 1003230343 | Tushar Modi, Md., Inc. | Internal Medicine | 413 E Orangeburg Ave Ste A, Modesto, CA 95350-5369 | 2014-02-06 |
| 1215103056 | Rosalio Orozco Rubio | Internal Medicine | 1234 Mchenry Ave, Modesto, CA 95350-5373 | 2008-05-01 |
| 1720278450 | Arwinnah Bautista M.d., A Professional Corporation | Internal Medicine | 2612 Temescal Dr, Modesto, CA 95355-8698 | 2007-07-30 |
| 1417001538 | David Lewis Davis | Internal Medicine | 901 Mcguire Dr, Modesto, CA 95355-4523 | 2007-01-23 |
| 1295891224 | Jonathan Sam Davidson | Internal Medicine | 4206 Technology Dr Ste 2, Modesto, CA 95356-8769 | 2006-12-27 |
| 1538229638 | David Lyon | Internal Medicine | 103 Modesto Ave, Modesto, CA 95354-0414 | 2006-12-11 |
| 1841375870 | Nirmal S Rai Md and Meetinder K Rai Md Inc | Internal Medicine | 1930 E Hatch Rd, Ste A, Modesto, CA 95351-5132 | 2006-10-26 |
| Find all providers in MODESTO | ||||
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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.