JOSEPH PARK, D.O., PLLC (NPI# 1649427337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649427337 |
| Entity Type | Organization |
| Organization Name | JOSEPH PARK, D.O., PLLC |
| Practice Address |
3805 Main St Ste 112 The Colony TX 75056-2852 |
| Practice Telephone | 9723700004 |
| Practice Fax Number | 9723700088 |
| Mailing Telephone | 9723700004 |
| Mailing Fax Number | 9723700088 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2013-08-28 |
| Authorized Official Name | JOSEPH PARK (OWNER) |
| Authorized Official Telephone | 9723700004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | M5418 | TX | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | L6563 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1675746-02 | 05 |
| Street Address |
3805 MAIN ST STE 112 |
| City | THE COLONY |
| State | TX |
| Zip Code | 75056-2852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528124773 | David Allen Hubbell | Dentist | 3805 Main St, Suite 114, The Colony, TX 75056-2836 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253650 | Geneiq LLC | Clinical Medical Laboratory | 2716 Standridge Drive, Floor 2 Ste 204, The Colony, TX 75056 | 2020-04-06 |
| 1952947863 | Luisa Collins | Registered Nurse | 6805 Main St., Ste 430 #660, The Colony, TX 75056 | 2019-11-26 |
| 1013473248 | Nongnuch Kuligowski | Family Medicine | 5040 Tx-121 Suite 200, Lewisville, TX 75056 | 2019-02-12 |
| 1639655806 | The Regenerative Institute of Texas | Pain Medicine | 3716 Standridge Dr Ste 200, The Colony, TX 75056 | 2018-07-11 |
| 1619484656 | Cornelius Hathorn | Non-emergency Medical Transport (VAN) | 16208 Windhaven Pkwy, Apt 1307, Lewisville, TX 75056 | 2017-12-29 |
| 1194236646 | 5 Star Dental | Dentist | 3751 Main Street, Suite 1000, The Colony, TX 75056 | 2017-10-23 |
| 1396254405 | Rosemore Eye Care Pa | Optometrist | 4901 Windhaven Pkwy, Suite 100, The Colony, TX 75056 | 2017-09-21 |
| 1356877724 | Jamie Mutschler | Speech-Language Pathologist | 220 Eastland Drive, Lewisville, TX 75056 | 2017-05-04 |
| 1831639160 | Jacqueline Nguyen Bang | Counselor | 2287 Sir Amant Drive, Lewisville, TX 75056 | 2017-03-06 |
| 1417495052 | Mary Alice Neville | Physician Assistant | 3600 Main Street, Suite 100, The Colony, TX 75056 | 2017-02-02 |
| Find all providers in zip 75056 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669977831 | The Colony Total Wellness Clinic, Pllc | Family Medicine | 4815 Sh 121 Ste 5, The Colony, TX 75056-2906 | 2018-03-28 |
| 1265611685 | Phuong Denise Dang | Family Medicine | 4897 State Highway 121, Suite 100, The Colony, TX 75056-2916 | 2007-11-01 |
| 1891848412 | Joseph Park | Family Medicine | 3805 Main St Ste 112, The Colony, TX 75056-2853 | 2007-01-18 |
| 1710999412 | Jan W Pickett | Family Medicine | 6600 Paige Rd, Suite 105, The Colony, TX 75056-4500 | 2006-08-12 |
| 1609877208 | Kim Tran | Family Medicine | 6053 Main St Ste 130, The Colony, TX 75056-4706 | 2005-08-03 |
| 1659379592 | Gary M Vollenweider | Family Medicine | 6053 Main St, Suite 130, The Colony, TX 75056-2062 | 2005-07-13 |
| 1902185077 | Andrew Joseph Lovell | Family Medicine | 3800 Main St, Suite 100, The Colony, TX 75056-2835 | 2011-08-08 |
| 1932337839 | David Ko | Family Medicine | 6053 Main St Ste 130, The Colony, TX 75056-4706 | 2009-06-30 |
| 1376739581 | Carlos X Galindo | Family Medicine | 6053 Main St, Ste 130, The Colony, TX 75056-4706 | 2007-09-20 |
| 1184846776 | Lakeside Medical Associates, P. A. | Family Medicine | 6053 Main St, Suite 130, The Colony, TX 75056-4706 | 2007-05-03 |
| Find all providers in THE COLONY | ||||
| City | THE COLONY |
| Zip Code | 75056 |
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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.