DR. JAE K PARK (NPI# 1437365814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437365814 |
| Entity Type | Individual |
| Full Name | DR. JAE K PARK |
| Credential | M.D. |
| Practice Address |
6185 Buford Hwy Suite B-104 Norcross GA 30071-2350 |
| Practice Telephone | 7704160099 |
| Practice Fax Number | 7704160022 |
| Mailing Telephone | 7704160099 |
| Mailing Fax Number | 7704160022 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
030177 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386110781 | Jae H Park | Dentist | 1637 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2018-10-23 |
| 1720506314 | Jae Y Park | Registered Nurse | 1103 10th St Nw, Rochester, MN 55901-1756 | 2017-09-02 |
| 1861649881 | Jae Hyun Park | Acupuncturist | 3020 Wilshire Blvd Ste 222, Los Angeles, CA 90010 | 2008-08-20 |
| 1811065238 | Jae Hyun Park | Dentist | 3155 W Indian School Rd, Western Dental Orthodontic Office, Phoenix, AZ 85017-4035 | 2006-12-01 |
| 1700977543 | Jae Ho Park | Dentist | 3123 W Olympic Blvd, Los Angeles, CA 90006-2462 | 2006-09-27 |
| 1144329723 | Jae H Park | Chiropractor | 4840 Irvine Blvd, #203, Irvine, CA 92620-1962 | 2006-09-21 |
| 1780621805 | Jae O Park | Internal Medicine | 14455 Sw Allen Blvd, Suite 101, Beaverton, OR 97005-4428 | 2006-05-31 |
| 1699750182 | Jae Y Park | Pharmacist | 3307 W Pico Bl, Los Angeles, CA 90019-4530 | 2005-12-07 |
| 1285109504 | Jae Park | Acupuncturist | 320 Ward Ave Ste 205, Honolulu, HI 96814-4017 | 2018-10-12 |
| 1336649573 | Jae Hong Park | Dentist | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2018-02-14 |
| Street Address |
6185 BUFORD HWY SUITE B-104 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30071-2350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801831797 | Heman B Dodani | Family Medicine | 6185 Buford Hwy, Suite E-400, Norcross, GA 30071-2350 | 2006-06-17 |
| 1336493311 | Center for Pan Asian Community Services, Inc. | Clinic/Center | 6185 Buford Hwy, Building G, Norcross, GA 30071-2350 | 2012-10-30 |
| 1639336498 | Amitha Sampath | Pediatrics | 6185 Buford Hwy, Building G, Norcross, GA 30071-3323 | 2008-05-20 |
| 1770791139 | Cosmo Health Care | Internal Medicine | 6185 Buford Hwy, Building G, Norcross, GA 30071-2350 | 2007-05-18 |
| 1538217674 | Richard Neal Goodroe | Dentist | 6185 Buford Hwy, Building B-102, Norcross, GA 30071-2350 | 2007-01-08 |
| 1801988332 | Sun-hee Kim | Specialist | 6185 Buford Hwy, Building G, Norcross, GA 30071-2350 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199867 | 1st Senior Cares, LLC | Home Health | 7116 Peachtree Industrial Blvd. Bldg. 4, Ste. B, Peachtree Corners, GA 30071 | 2019-11-21 |
| 1124660048 | Phil Scafidi | Massage Therapist | 50 Skin Alley, Norcross, GA 30071 | 2019-10-11 |
| 1063071454 | Kenanesha Owens | Counselor | 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 | 2019-06-10 |
| 1407318389 | 1st Senior Homecare, LLC | Home Health | 7116 Peachtree Industrial Blvd., Bldg 4 Suite A, Peachtree Corners, GA 30071 | 2019-04-01 |
| 1982163689 | Jk Acupuncture LLC | Acupuncturist | 5390 Peachtree Industrial Bl #101, Norcross, GA 30071 | 2019-03-13 |
| 1063990778 | First Senior Center | Clinic/Center | 7116 Peachtree Industrial Blvd, Bldg 4, Peachtree Corners, GA 30071 | 2018-08-03 |
| 1952896904 | Sonal P Patel | Physical Therapy Assistant | 4709 Peachtree Ind Blvd, Suite 106, Norcross, GA 30071 | 2018-06-22 |
| 1700392354 | Medlink Ems Inc | Ambulance | 6825 Jimmy Carter Blvd Ste 1303, Norcross, GA 30071 | 2017-12-19 |
| 1205377975 | David Kalisz II | Specialist/Technologist, Other | 1880 Beaver Ridge Circle Suite D, Norcross, GA 30071 | 2017-03-15 |
| 1356792519 | Tiffany Pope | Counselor | 6045 Atlantic Blvd Ste 108, Norcross, GA 30071 | 2016-06-28 |
| Find all providers in zip 30071 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669555819 | Richard Burnett Stewart | Obstetrics & Gynecology | 5430 Jimmy Carter Blvd, 200, Norcross, GA 30093-1517 | 2006-10-23 |
| 1427166735 | Mrudula M Raja | Obstetrics & Gynecology | 4554 Jimmy Carter Blvd, Norcross, GA 30093-4911 | 2006-08-27 |
| 1669968251 | Center for Restorative Reproductive Surgery, LLC | Obstetrics & Gynecology | 3957 Holcomb Bridge Rd Ste 100, Norcross, GA 30092-5244 | 2018-07-06 |
| 1447611132 | Ortho Medical Management LLC | Obstetrics & Gynecology | 5050 Jimmy Carter Blvd, Suite 250, Norcross, GA 30093-2711 | 2016-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558998070 | Gynecology Associates of Georgia | Obstetrics & Gynecology | 101 St Josephs Candler Dr Ste 300, Pooler, GA 31322-9588 | 2020-03-25 |
| 1295360949 | Premier Women's Gyn, LLC | Obstetrics & Gynecology | 101 Yorktown Dr Ste 224, Fayetteville, GA 30214-1578 | 2020-03-03 |
| 1073074175 | Mobile Md, LLC | Obstetrics & Gynecology | 746 Royal Springs Ln, Grovetown, GA 30813-4534 | 2019-03-29 |
| 1528565785 | Schilling Cosmetic Surgery & Aesthetics, LLC | Obstetrics & Gynecology | 1757 Rock Quarry Rd Ste A, Stockbridge, GA 30281-7303 | 2018-04-12 |
| 1356870547 | Her Wellness Center, LLC | Obstetrics & Gynecology | 1763 Highway 196 W, Hinesville, GA 31313-8013 | 2017-06-09 |
| 1245769777 | Better Health Better Life LLC | Obstetrics & Gynecology | 2398 Mount Vernon Rd Ste 150, Dunwoody, GA 30338-3064 | 2017-06-08 |
| 1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
| 1376899179 | Earl Edwin Sands | Obstetrics & Gynecology | 2200 Blackheath Trce, Alpharetta, GA 30005-6978 | 2012-07-30 |
| 1063788784 | Joseph Rudolph Prine Sr. | Obstetrics & Gynecology | 1216 Chennault Dr, Dublin, GA 31021-3006 | 2012-03-27 |
| 1871865113 | Candace Marvenia Tillman | Obstetrics & Gynecology | 477 Windsor St. Sw, Ste. 309, Atlanta, GA 30312 | 2012-02-02 |
| 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.