STEPHEN S. PARK (NPI# 1457420085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457420085 |
| Entity Type | Individual |
| Full Name | STEPHEN S. PARK |
| Practice Address |
415 Ray C Hunt Dr Charlottesville VA 22903-2980 |
| Mailing Address |
500 Ray C Hunt Dr Charlottesville VA 22903-2981 |
| Practice Telephone | 4349245700 |
| Practice Fax Number | 4349241736 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 0101050773 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124366257 | Stephen B Park | Dentist | 34724 14th Pl Sw, Federal Way, WA 98023-7030 | 2013-01-24 |
| 1316226202 | Stephen Park | Dentist | 8630 Fenton St Ste 928, Silver Spring, MD 20910-3810 | 2011-08-09 |
| 1649407289 | Stephen Joseph Park | Internal Medicine | 9711 Medical Center Dr Ste 308, Rockville, MD 20850-3388 | 2009-06-22 |
| 1760561450 | Stephen Jin Park | Dentist | 925 W 34th St # 124c, Los Angeles, CA 90089-0058 | 2006-11-03 |
| 1952359002 | Stephen S Park | Internal Medicine | 11039 Acacia Pkwy, Garden Grove, CA 92840 | 2006-05-04 |
| 1013986652 | Stephen Hanisee Park | Registered Nurse | S7208a Yanske Road, Viroqua, WI 54665-5466 | 2006-03-16 |
| 1700346996 | Stephen Joon Park | Student in an Organized Health Care Education/Training Program | 1200 N State Street, Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2019-03-22 |
| 1730591728 | Stephen Park | Psychologist | 243 N Highway 101, Suite 16, Solana Beach, CA 92075-1180 | 2014-05-23 |
| 1740627371 | Stephen Sangjin Park | Emergency Medicine | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2013-05-22 |
| 1699781864 | Stephen Matthew Park | Pediatrics | 700 East Woodland Dr, Saline, MI 48176-1620 | 2006-07-31 |
| Street Address |
415 RAY C HUNT DR |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-2980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831277862 | Sue A Brown | Internal Medicine | 415 Ray C Hunt Dr, Charlottesville, VA 22908-0001 | 2006-11-01 |
| 1255785168 | Joshua Liu | Student in an Organized Health Care Education/Training Program | 415 Ray C Hunt Dr, Charlottesville, VA 22908-2741 | 2016-04-17 |
| 1871975912 | Alexandra R. Melahn | Audiologist | 415 Ray C Hunt Dr, Charlottesville, VA 22903-2980 | 2015-06-25 |
| 1699109884 | Jeffrey Yu | Otolaryngology | 415 Ray C Hunt Dr, Suite 2200, Charlottesville, VA 22908-0001 | 2013-08-25 |
| 1700229325 | Benjamin Franklin Sandberg | Orthopaedic Surgery | 415 Ray C Hunt Dr, Charlottesville, VA 22908-1450 | 2013-04-12 |
| 1821364852 | Brittany J Behar | Plastic Surgery | 415 Ray C Hunt Dr, Charlottesville, VA 22903 | 2012-03-23 |
| 1982930459 | Lara Travis Myers | Nurse Practitioner | 415 Ray C Hunt Dr, Charlottesville, VA 22903-2980 | 2009-10-19 |
| 1184866535 | Katherine L. Fedder | Otolaryngology | 415 Ray C Hunt Dr, 2nd Floor, Ste 2200, Charlottesville, VA 22908-0001 | 2009-04-01 |
| 1205099678 | Caroline D'souza | Internal Medicine | 415 Ray C Hunt Dr, Suite 2100, Charlottesville, VA 22903-2980 | 2008-07-07 |
| 1679778237 | Jessicah S. Collins | Internal Medicine | 415 Ray C Hunt Dr, Charlottesville, VA 22903-2980 | 2007-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508151887 | Jose Luis Mattos | Otolaryngology | 415 Ray C. Hunt Dr Ste 2200, Charlottesville, VA 22903-0001 | 2011-06-14 |
| 1013087295 | Paul A. Levine | Otolaryngology | 415 Ray C. Hunt Drive, Suite 2200, Uva Ent Clinic @ Fontaine, Charlottesville, VA 22903 | 2006-11-08 |
| 1972672509 | Daniel A. Landes | Otolaryngology | 652 Peter Jefferson Pkwy Ste 140, Charlottesville, VA 22911-8851 | 2006-11-07 |
| 1073564993 | Mark James Jameson | Otolaryngology | 415 Ray C Hunt Dr Ste 2200, Charlottesville, VA 22903-2980 | 2006-05-15 |
| 1477518389 | R Jack Eastham | Otolaryngology | 1000 East High Street, Suite A, Charlottesville, VA 22902-4848 | 2006-04-20 |
| 1679564777 | Spencer Cranston Payne | Otolaryngology | 415 Ray C. Hunt Drive, Suite 1200, Charlottesville, VA 22903-0001 | 2005-10-31 |
| 1982181905 | Martin Hanson | Otolaryngology | 415 Ray C Hunt Dr Ste 2200, Charlottesville, VA 22903-2980 | 2018-07-23 |
| 1487073516 | Jonathan Constantine Garneau | Otolaryngology | 415 Ray C Hunt Dr Ste 2200, Charlottesville, VA 22903-2980 | 2014-04-16 |
| 1699109884 | Jeffrey Yu | Otolaryngology | 415 Ray C Hunt Dr, Suite 2200, Charlottesville, VA 22908-0001 | 2013-08-25 |
| 1972946796 | Patrick O Mcgarey Jr. | Otolaryngology | 415 Ray C Hunt Dr Ste 2200, Charlottesville, VA 22903-2980 | 2013-04-11 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
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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.