PAUL PARK (NPI# 1629537964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629537964 |
| Entity Type | Individual |
| Full Name | PAUL PARK |
| Credential | MD |
| Practice Address |
22 S Greene St # S11c Baltimore MD 21201-1544 |
| Practice Telephone | 4103281239 |
| Mailing Telephone | 4103281239 |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2019-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1316180037 | Paul Park | Internal Medicine | Box 3951 Or Trent Drive - Dumc, Gme Office, Rm 139-green Zone, Durham, NC 27710 | 2009-04-10 |
| 1083670152 | Paul W. Park | Ophthalmology | 4278 W 3rd St, Los Angeles, CA 90020-3449 | 2006-04-26 |
| 1801434360 | Paul Park IIi | Physical Therapist | 400 Parnassus Ave, San Francisco, CA 94143-2202 | 2019-12-16 |
| 1306491261 | Paul J Park | Dentist | 3145 Garden Ave, Building 1278, San Antonio, TX 78234 | 2019-08-07 |
| 1508339094 | Paul Park | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2019-01-07 |
| 1932616034 | Paul Park | Marriage & Family Therapist | 6301 Beach Blvd Ste 245, Buena Park, CA 90621-4031 | 2018-01-10 |
| 1386195980 | Paul Park | Acupuncturist | 6954 Vaughn Rd, Montgomery, AL 36116-1368 | 2016-10-18 |
| 1679927206 | Paul Park | Internal Medicine | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2016-04-20 |
| 1265886402 | Paul Park | Student in an Organized Health Care Education/Training Program | 622 W 168th St, Ph 11- 1138, New York, NY 10032-3720 | 2016-04-13 |
| Street Address |
22 S GREENE ST # S11C |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-1544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568698868 | University of Maryland Anesthesiology Associates P.a. | Anesthesiology | 22 S Greene St # S11c, Baltimore, MD 21201-1544 | 2009-06-02 |
| 1275160723 | Corinne Renner | Student in an Organized Health Care Education/Training Program | 22 S Greene St # S11c, Baltimore, MD 21201-1544 | 2020-03-25 |
| 1821625203 | Morris David Zolet | Student in an Organized Health Care Education/Training Program | 22 S Greene St # S11c, Baltimore, MD 21201-1544 | 2020-03-25 |
| 1225665029 | James Kim | Student in an Organized Health Care Education/Training Program | 22 S Greene St # S11c, Baltimore, MD 21201-1544 | 2020-03-24 |
| 1942837653 | Mary Pavlovich | Student in an Organized Health Care Education/Training Program | 22 S Greene St # S11c, Baltimore, MD 21201-1544 | 2020-03-24 |
| 1821625674 | Alyssa Muhsana Farooque | Student in an Organized Health Care Education/Training Program | 22 S Greene St # S11c, Baltimore, MD 21201-1544 | 2020-03-23 |
| 1982230827 | John M Kelsh | Student in an Organized Health Care Education/Training Program | 22 S Greene St # S11c, Baltimore, MD 21201-1544 | 2020-03-22 |
| 1710449624 | Amanda Piedra | Student in an Organized Health Care Education/Training Program | 22 S Greene St # S11c, Baltimore, MD 21201-1544 | 2019-04-01 |
| 1780145136 | Megan Rose Mcclain | Student in an Organized Health Care Education/Training Program | 22 S Greene St # S11c, Baltimore, MD 21201-1544 | 2019-03-28 |
| 1922569763 | Enoch Cheung | Student in an Organized Health Care Education/Training Program | 22 S Greene St # S11c, Baltimore, MD 21201-1544 | 2019-03-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
| Find all providers in zip 21201 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355879 | Cristina Diana Ghinda | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St Bldg 8, Baltimore, MD 21287-0005 | 2020-10-27 |
| 1265043160 | Kathryn Ann Ritchie | Student in an Organized Health Care Education/Training Program | 1750 E Fairmount Ave Dept Of, Baltimore, MD 21231-1534 | 2020-08-13 |
| 1053929372 | Rod Guerrero Salgado | Student in an Organized Health Care Education/Training Program | 140 N Luzerne Ave, Baltimore, MD 21224-1147 | 2020-07-22 |
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 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 |
| 1649897158 | Michael William Mikula | Student in an Organized Health Care Education/Training Program | Pathology Bldg., Rm. 401, 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-06-30 |
| 1154948743 | Kamilah S Brown | Student in an Organized Health Care Education/Training Program | 437 E Lorraine Ave, Baltimore, MD 21218-4713 | 2020-06-29 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1467077479 | Nashedra Barry | Student in an Organized Health Care Education/Training Program | 301 N Charles St Apt M1, Baltimore, MD 21201-4397 | 2020-06-15 |
| 1205451804 | Ryan Robert Keoni Ingle | Student in an Organized Health Care Education/Training Program | 29 S Greene St Ste 400, Baltimore, MD 21201-1504 | 2020-06-10 |
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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.