JULIE PARK (NPI# 1568916625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568916625 |
| Entity Type | Individual |
| Full Name | JULIE PARK |
| Credential | MD |
| Practice Address |
404 N Keene St Women's and Children's Hospital Columbia MO 65201-6626 |
| Mailing Address |
400 N Keene St South Pavilion Columbia MO 65201-6626 |
| Practice Telephone | 5738824438 |
| Practice Fax Number | 5738849992 |
| Mailing Telephone | 5738824438 |
| Mailing Fax Number | 5738849992 |
| Enumeration Date | 2016-08-06 |
| Last Update Date | 2016-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2016022755 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215459862 | Julie J Park | Acupuncturist | 113 Kingsley Street, Apt 2f, Leoni, NJ 07605 | 2017-07-14 |
| 1811152846 | Julie Myung Park | Acupuncturist | 903 Crenshaw Blvd Ste 301, Los Angeles, CA 90019-1967 | 2008-07-18 |
| 1225539109 | Julie Park | Behavior Technician | 901 Sneath Ln Ste 105, San Bruno, CA 94066-2415 | 2018-02-26 |
| 1285036525 | Julie Park | Pharmacist | 6189 La Palma Ave, Buena Park, CA 90620-2858 | 2014-09-18 |
| 1245672922 | Julie Park | Speech-Language Pathologist | 80 Main St, West Orange, NJ 07052-5460 | 2013-07-23 |
| 1619220423 | Julie Park | Physical Therapy Assistant | 15 S Main St, Suite 220, Jamestown, NY 14701-6626 | 2012-10-17 |
| 1386968147 | Julie Lee Park | Dentist | 538 Polaris Pkwy, Westerville, OH 43082-7044 | 2010-03-23 |
| 1851624225 | Julie A Park | Licensed Vocational Nurse | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2009-09-16 |
| 1235320516 | Julie Park | Nurse Practitioner | 1635 N George Mason Dr Ste 170, Arlington, VA 22205-3633 | 2007-08-05 |
| 1710008446 | Julie Yunha Park | Occupational Therapist | 15 Parkman St, Boston, MA 02114 | 2007-04-02 |
| Street Address |
404 N KEENE ST WOMEN'S AND CHILDREN'S HOSPITAL |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-6626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861486151 | Curators of The University of Missouri | General Acute Care Hospital | 404 N Keene St, Columbia, MO 65201 | 2005-09-01 |
| 1609474493 | Cameron Bishop Taylor | Pharmacist | 404 N Keene St, Columbia, MO 65201-6626 | 2020-10-13 |
| 1265039218 | Pulcherie Guissou Ada | Internal Medicine | 404 N Keene St, Columbia, MO 65201-6626 | 2020-10-02 |
| 1477161529 | Rachel R Couch | Pediatrics | 404 N Keene St, Columbia, MO 65201-6626 | 2020-07-15 |
| 1801414552 | Shruti Sinha | Pediatrics | 404 N Keene St, Columbia, MO 65201-6626 | 2020-07-09 |
| 1699393355 | Kathryn A Guymon | Pediatrics | 404 N Keene St, Columbia, MO 65201-6626 | 2020-07-09 |
| 1578181228 | Nicole L Meyer | Pediatrics | 404 N Keene St, Columbia, MO 65201-6626 | 2020-07-09 |
| 1942827399 | Varun Manohara | Pediatrics | 404 N Keene St, Columbia, MO 65201-6626 | 2020-07-01 |
| 1205453651 | Elly A Ranum | Pediatrics | 404 N Keene St, Columbia, MO 65201-6626 | 2020-07-01 |
| 1710500392 | Shreeya Chugh | Pediatrics | 404 N Keene St, Columbia, MO 65201-6626 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128742 | Emily Anne Cloessner | Pediatrics | Prisma Health Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-06-08 |
| 1043833890 | Lauren F. Cook | Pediatrics | Prisma Health Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-05-27 |
| 1619598158 | Zeel Hiren Patel | Pediatrics | Childrens Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2020-05-06 |
| 1427695824 | Naseem Khan | Pediatrics | 10851 Clarksville Pike, Columbia, MD 21044-1338 | 2019-12-04 |
| 1164089124 | Mercy Clinic Illinois, LLC | Pediatrics | 1019 Valmeyer Rd, Columbia, IL 62236-4123 | 2019-05-24 |
| 1629568480 | Heather Kay Lynn | Pediatrics | Pediatric Outpatient Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2018-05-16 |
| 1174013932 | Dalton Mark Renick | Pediatrics | Pediattric Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2018-05-16 |
| 1033630330 | Brian Bradley Johnson | Pediatrics | Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2017-06-28 |
| 1316350226 | Duncan Lee Norton | Pediatrics | 14 Medical Park, Ste 400, Children's Hospital Outpatient Center, Columbia, SC 29203 | 2014-06-09 |
| 1225440910 | Michael Mitchell | Pediatrics | 14 Medical Park Ste 400, Pediatric Clinic, Columbia, SC 29203 | 2014-05-29 |
| Find all providers in COLUMBIA | ||||
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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.