SA EUN PARK (NPI# 1578979951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578979951 |
Entity Type | Individual |
Full Name | SA EUN PARK |
Credential | MD |
Practice Address |
1800 Orleans St Fl Center12 Baltimore MD 21287-0010 |
Mailing Address |
9910 Franklin Square Dr Ste 2110 Baltimore MD 21236-4902 |
Practice Telephone | 4109557858 |
Practice Fax Number | 4109558691 |
Mailing Telephone | 4109336423 |
Enumeration Date | 2014-07-07 |
Last Update Date | 2020-01-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
D85881 | MD | Allopathic & Osteopathic Physicians |
Street Address |
1800 ORLEANS ST FL CENTER12 |
City | BALTIMORE |
State | MD |
Zip Code | 21287-0010 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174140503 | Thomas Dimitrios Zaikos | Student in an Organized Health Care Education/Training Program | Pathology Building Rm. 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2020-07-01 |
1316572175 | Sarah Branigan | Pediatrics | Johns Hopkins Children's Center, 1800 Orleans Street, Baltimore, MD 21287 | 2020-03-11 |
1790318657 | Margaret Geraldine Keane | Internal Medicine | Sheikh Zayed Tower, 1800 Orleans St, Baltimore, MD 21287 | 2020-02-19 |
1699322636 | Lakeya Mcgill | Student in an Organized Health Care Education/Training Program | 600 North Wolfe St, Phipps 174, Baltimore, MD 21287 | 2019-08-23 |
1245882406 | Ranim Amer Ibrahim Alsaad | Student in an Organized Health Care Education/Training Program | 1800 Orleans Street - Johns Hopkins Hospital, Tower 110, Baltimore, MD 21287 | 2019-07-09 |
1992364004 | Anthony David Pisaniello | Student in an Organized Health Care Education/Training Program | 1800 Orleans St, Johns Hopkins Hospital, Baltimore, MD 21287 | 2019-06-12 |
1255990503 | Ethan Tumarkin | Student in an Organized Health Care Education/Training Program | 600 N. Wolfe St./halsted 500, Baltimore, MD 21287 | 2019-06-11 |
1629636386 | Kathleen Anne Malloy | Counselor | Jhh 600 N. Wolfe St., Cpp- Meyer 144, Baltimore, MD 21287 | 2019-05-29 |
1285298489 | Ashleigh Graham | Student in an Organized Health Care Education/Training Program | Pathology Building, Rm 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
1851955066 | Seena Tabibi | Student in an Organized Health Care Education/Training Program | Pathology Department Johns Hopkins University Som, Pathology Building Rm 401, 600 North Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
Find all providers in zip 21287 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275978165 | Advanced Behavioral Health, Inc. | Psychiatry & Neurology | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2013-05-06 |
1902171374 | Coleen Marie Schrepfer | Psychiatry & Neurology | 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209 | 2012-03-18 |
1639366032 | Joseph S Bierman | Psychiatry & Neurology | 2 Olmstead Green Ct, Baltimore, MD 21210-1508 | 2007-09-28 |
1790905826 | Carla Stephanie Brown | Psychiatry & Neurology | 6501 N Charles Street, Baltimore, MD 21285-6815 | 2007-04-30 |
1093861221 | Evanne Loh Hoehn-saric | Psychiatry & Neurology | 2700 Washington Ave, Baltimore, MD 21227-3115 | 2007-01-29 |
1194767491 | Roma Vasa | Psychiatry & Neurology | 3901 Greenspring Ave, Kennedy Krieger Institute, Deptartment of Psychiatry, Baltimore, MD 21211 | 2006-06-12 |
1639701956 | Johns Hopkins Bayview Medical Center, Inc. | Psychiatry & Neurology | 5500 E Lombard St Rm 1025, Baltimore, MD 21224-1731 | 2020-02-05 |
1265951404 | Faye Park | Psychiatry & Neurology | 716 N Broadway, Baltimore, MD 21205-1806 | 2017-09-19 |
1245625318 | Raheela Sultan | Psychiatry & Neurology | 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209-3650 | 2015-04-05 |
1639437668 | Hal Kronsberg | Psychiatry & Neurology | 5500 E Lombard St, Baltimore, MD 21224-1731 | 2012-04-27 |
Find all providers in BALTIMORE |
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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.