DR. MICHAEL HYUNGWOOK PARK (NPI# 1568404481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568404481 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL HYUNGWOOK PARK |
| Credential | MD |
| Practice Address |
2790 Lake Vista Dr Lewisville TX 75067-3884 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 9724591300 |
| Practice Fax Number | 9724591382 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9724379605 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
J8708 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 129006603 | 05 | |
| TX | 129006604 | 05 | |
| TX | BLUE CROSS OF TEXAS | 8R1520 | 01 |
| TX | 129006605 | 05 |
| 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 |
2790 LAKE VISTA DR |
| City | LEWISVILLE |
| State | TX |
| Zip Code | 75067-3884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475737 | Marvin F Fojtasek | Internal Medicine | 2790 Lake Vista Dr, Lewisville, TX 75067-3884 | 2005-05-23 |
| 1093325888 | Kel Swayden | Pharmacist | 2790 Lake Vista Dr, Lewisville, TX 75067-3884 | 2020-08-06 |
| 1295373538 | Kristie Zachariah | Nurse Practitioner | 2790 Lake Vista Dr, Lewisville, TX 75067-3884 | 2019-12-17 |
| 1891339644 | Attigo Infusion Inc | Internal Medicine | 2790 Lake Vista Dr, Lewisville, TX 75067-3884 | 2019-11-05 |
| 1205486941 | Nicole Osimiri | Nurse Practitioner | 2790 Lake Vista Dr, Lewisville, TX 75067-3884 | 2019-09-15 |
| 1710545470 | Cynthia Diane Martinez | Nurse Practitioner | 2790 Lake Vista Dr, Lewisville, TX 75067-3884 | 2019-05-29 |
| 1932766128 | Taryn Lee | Nurse Practitioner | 2790 Lake Vista Dr, Lewisville, TX 75067-3884 | 2019-05-22 |
| 1033648837 | Adam C Brock | Nurse Practitioner | 2790 Lake Vista Dr, Lewisville, TX 75067-3884 | 2017-06-06 |
| 1346651072 | Americare Medical Partners, Pllc | General Practice | 2790 Lake Vista Dr, Lewisville, TX 75067 | 2014-05-15 |
| 1639596158 | Rajani Yonzon | Nurse Practitioner | 2790 Lake Vista Dr, Lewisville, TX 75067-3884 | 2014-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437767290 | Dental Depot of Lewisville, Pllc | Dentist | 1260 W Fm 3040, Lewisville, TX 75067 | 2020-07-17 |
| 1548885692 | Guiding Grace LLC | Case Management | 405 State Highway 121, Ste A250, Lewisville, TX 75067 | 2020-06-15 |
| 1548800733 | Dfw Lewisville Emergency Center LLC | Emergency Medicine | 1596 W. Main St., Lewisville, TX 75067 | 2020-01-15 |
| 1386286854 | Rachel Lee Herd | Registered Nurse | 940 W Round Grove Rd Apt 2237, Lewisville, TX 75067 | 2019-10-16 |
| 1437631108 | Rosa Lydia Rodriguez | Massage Therapist | 330 Brook Cove Ln, Lewisville, TX 75067 | 2018-08-29 |
| 1023508819 | W. Main Street Dental Lewisville, Tx, P.C. | Dentist | 724 W Main St Ste 316, Lewisville, TX 75067 | 2018-05-16 |
| 1255821286 | Alicia D Wallace | Counselor | 105 Kathryn Dr. Bldg. 3, Ste. D, Lewisville, TX 75067 | 2018-05-15 |
| 1861921116 | Megan Blair Morrison | Dentist | 420 E Round Grove Rd #640, Lewisville, TX 75067 | 2017-06-09 |
| 1508305905 | Schofield Orthodontics Pllc | Dentist | 755 Hwy 121 Byp, A200, Lewisville, TX 75067 | 2017-02-17 |
| 1275080897 | Trinity Counseling | Counselor | 2001 Woven Trail, Lewisville, TX 75067 | 2016-09-01 |
| Find all providers in zip 75067 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083652291 | Dennis James Costa | Internal Medicine | 2790 Lake Vista Dr, Lewisville, TX 75067-3884 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447636857 | Carl Plager | Internal Medicine | 5151 Edloe Street, Apt. 5406, Houston, TX 77005-1187 | 2015-08-07 |
| 1730560525 | Michael Burgess | Internal Medicine | 300 Zapata Ave, Rancho Viejo, TX 78575-9654 | 2015-06-17 |
| 1861802332 | Shane Ahlers | Internal Medicine | 6037 Marquita Ave, Dallas, TX 75206 | 2014-05-05 |
| 1881018760 | Giora M. Mavligit | Internal Medicine | 2400 N. Braeswood, #211, Houston, TX 77030 | 2014-02-12 |
| 1396184354 | David Hsieh | Internal Medicine | 2201 Inwood Road 3rd Floor Nc3.500, Dallas, TX 75390 | 2013-06-22 |
| 1790124113 | William Stanley Gore | Internal Medicine | 570 Beechwood Loop, Hemphill, TX 75948-6615 | 2013-06-19 |
| 1679919963 | Olufunke Akinbobuyi | Internal Medicine | 2205 West Walker Street, League City, TX 77573 | 2013-05-14 |
| 1659715357 | Natasha Baldev Hirani | Internal Medicine | 1450 E League City Pkwy, League City, TX 77573 | 2013-04-24 |
| 1154676146 | Rossa Khalaf | Internal Medicine | 7812 Gateway Blvd E Ste 110, El Paso, TX 79915-1811 | 2012-07-17 |
| 1275808222 | Debra Louise Caudy | Internal Medicine | 6620 Golf Dr, Dallas, TX 75205-1212 | 2012-03-08 |
| Find all providers with the same taxonomy | ||||
| City | LEWISVILLE |
| Zip Code | 75067 |
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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.