SA EUN PARK


Address: 1800 Orleans St Fl Center12, Baltimore, MD 21287-0010
Phone: 4109557858

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
D85881 MD Allopathic & Osteopathic Physicians

Office Location

Street Address 1800 ORLEANS ST FL CENTER12
City BALTIMORE
State MD
Zip Code 21287-0010

Providers in the same zip code

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 Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and city

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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City BALTIMORE
Zip Code 21287

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Dataset Information

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.

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