SONG Y. PARK (NPI# 1568852317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568852317 |
| Entity Type | Individual |
| Full Name | SONG Y. PARK |
| Other Name | SONIA PARK |
| Credential | MSN, FNP-C |
| Practice Address |
771 Old Norcross Rd Ste 120 Lawrenceville GA 30046-4977 |
| Mailing Address |
771 Old Norcross Road Suite 120 Lawrenceville GA 30046-4981 |
| Practice Telephone | 7706706920 |
| Practice Fax Number | 7706706927 |
| Mailing Telephone | 7706706920 |
| Mailing Fax Number | 7706706927 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2017-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN219551 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902288434 | Song Anthimus Park | Optometrist | 13593 Us Highway 87 W # 105, La Vernia, TX 78121-5884 | 2015-06-20 |
| 1376173328 | Song Youn Park | Dermatology | 4225 Roosevelt Way Ne Fl 4, Seattle, WA 98105-6099 | 2020-01-17 |
| 1346761541 | Song Park | Acupuncturist | 16 E 40th St Fl 2, New York, NY 10016-0134 | 2017-06-28 |
| 1225486947 | Song Yong Park | Dentist | 412 State Route 37, Hogansburg, NY 13655-3109 | 2016-06-03 |
| 1811297971 | Song Wook Park | Pharmacist | 413 Elden St, Herndon, VA 20170-4512 | 2010-10-23 |
| Street Address |
771 OLD NORCROSS RD STE 120 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-4977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496781 | Yanfang Xiao | Nurse Practitioner | 70 Rivershyre Cir, Lawrenceville, GA 30043-6436 | 2020-10-29 |
| 1114533346 | Esi F Yeboah | Nurse Practitioner | 2599 Irwell Way, Lawrenceville, GA 30044-2141 | 2020-09-22 |
| 1205442647 | Chibuogwu Ifeoma Onyegbule | Nurse Practitioner | 2508 Planters Cove Dr, Lawrenceville, GA 30044-4491 | 2020-09-21 |
| 1760097323 | Adelaide Asher | Nurse Practitioner | 250 Chandler Pond Dr, Lawrenceville, GA 30043-6079 | 2020-09-10 |
| 1669082335 | Dahlia Josephine Dobson | Nurse Practitioner | 25 Featherbed Ct, Lawrenceville, NJ 08648-2004 | 2020-08-06 |
| 1912517129 | Virginiah Kariuki | Nurse Practitioner | 990 Melrose Park Pl, Lawrenceville, GA 30044-7589 | 2020-08-03 |
| 1750990875 | Brittney Comfort Afram | Nurse Practitioner | 436 Cabot Trce, Lawrenceville, GA 30045-7848 | 2020-07-24 |
| 1487273843 | Maria A Chuma-okere | Nurse Practitioner | 1171 Thorncliff Way, Lawrenceville, GA 30044-8140 | 2020-04-15 |
| 1063031706 | Josephine Fatmata Belmoh | Nurse Practitioner | 2035 Bentbrooke Trl, Lawrenceville, GA 30043-2672 | 2020-04-13 |
| 1275162109 | Regina Raynor | Nurse Practitioner | 2359 Strand Ave, Lawrenceville, GA 30043-8204 | 2020-04-03 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on SONG Y. PARK.
| 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.