MR. PETER DONGSHIK PARK (NPI# 1689636078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689636078 |
| Entity Type | Individual |
| Full Name | MR. PETER DONGSHIK PARK |
| Credential | MD |
| Practice Address |
510 Upper Chesapeake Dr Ste 416 Bel Air MD 21014-4336 |
| Mailing Address |
510 Upper Chesapeake Dr Suite 416 Bel Air MD 21014-4328 |
| Practice Telephone | 4436434700 |
| Practice Fax Number | 4436434707 |
| Mailing Telephone | 4436434700 |
| Mailing Fax Number | 4436434707 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2019-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
D0047827 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 304701600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2214 Old Emmorton Rd Ste 100, Bel Air, MD 210156106 | 4108386345 | 4108381595 |
| 251 Lewis Ln Ste 105, Havre De Grace, MD 210783752 | 4109395082 | 4109396291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033685177 | Peter Sungil Park | Obstetrics & Gynecology | 31874 Summer Grape Ct, Winchester, CA 92596-8633 | 2018-10-16 |
| 1699015792 | Peter Ju Park | Radiology | 100 Woodruff Cir Ne, Suite 327, Atlanta, GA 30322-0001 | 2013-02-26 |
| 1831296185 | Peter Joonsun Park | Emergency Medicine | 34800 Bob Wilson Dr. Naval Medical Center, Department of Emergency Medicine, San Diego, CA 92134-1110 | 2006-09-20 |
| 1508899915 | Peter C Park | Family Medicine | 30 Vt Route 100 S, Wilmington, VT 05363-7944 | 2006-07-09 |
| 1952359887 | Peter K Park | Physical Medicine & Rehabilitation | 6447 E Riverside Blvd, Suite 102, Rockford, IL 61114-4421 | 2006-05-04 |
| 1104825033 | Peter Sang-wook Park | Podiatrist | 1501 W Commonwealth Ave, Fullerton, CA 92833-2727 | 2005-07-21 |
| 1154937241 | Peter S Park | Student in an Organized Health Care Education/Training Program | 820 Memorial St Ste 1, Prosser, WA 99350-2504 | 2020-09-23 |
| 1437762275 | Peter Park | Pharmacist | 1713 W Springfield Ave, Champaign, IL 61821-3011 | 2020-08-30 |
| 1831650043 | Peter K Park | Student in an Organized Health Care Education/Training Program | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-03-29 |
| 1508392176 | Peter Park | Social Worker | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2017-05-02 |
| Street Address |
510 UPPER CHESAPEAKE DR STE 416 |
| City | BEL AIR |
| State | MD |
| Zip Code | 21014-4336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447212949 | Vedapurisan Viswanathan | Internal Medicine | 510 Upper Chesapeake Dr Ste 416, Bel Air, MD 21014-4336 | 2006-04-03 |
| 1922230002 | Eiad Nasser | Internal Medicine | 510 Upper Chesapeake Dr Ste 416, Bel Air, MD 21014-4336 | 2009-08-21 |
| 1598727091 | Asheesh Sood | Internal Medicine | 510 Upper Chesapeake Dr Ste 416, Bel Air, MD 21014-4336 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757713 | Rebecca Gavin | Social Worker | 221 Maitland St Ste 204, Bel Air, MD 21014 | 2019-08-26 |
| 1790348563 | Iql Behavioral Health Services LLC | Community/Behavioral Health | 1003 Red Pump Road, Bel Air, MD 21014 | 2019-04-17 |
| 1700355351 | Barbara Ann Melton-jones | Counselor | 120 S. Hays St., Bel Air, MD 21014 | 2018-11-13 |
| 1306327945 | Donald David Fleming | Counselor | Dave Fleming, 418 S Main Street, Bel Air, MD 21014 | 2018-08-22 |
| 1003396847 | Michael Smith, Dpt LLC | Physical Therapist | 10 South Hays Street, Bel Air, MD 21014 | 2018-08-21 |
| 1467942987 | The Caring Connection, Inc | Adult Companion | 304 Vale Road, Bel Air, MD 21014 | 2018-05-10 |
| 1194220376 | Mc Counseling Inc | Social Worker | 336 S. Main Street, Suite 2 C-a, Bel Air, MD 21014 | 2018-03-28 |
| 1861997678 | Harford X-ray Services LLC | Radiology | 615 W Macphail Rd Ste 106b, Bel Air, MD 21014 | 2018-03-26 |
| 1386143964 | Lucy Huiyu Tong | Nurse Practitioner | Potomac Physicians, 104 Plumtree Road, Bel Air, MD 21014 | 2018-02-08 |
| 1124561238 | Children's National Health System | Chronic Disease Hospital | 914 Cheswold Court, Bel Air, MD 21014 | 2016-11-21 |
| Find all providers in zip 21014 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447212949 | Vedapurisan Viswanathan | Internal Medicine | 510 Upper Chesapeake Dr Ste 416, Bel Air, MD 21014-4336 | 2006-04-03 |
| 1669710802 | Bel Air Gastroenterology LLC | Internal Medicine | 602 S Atwood Rd, Suite 205, Bel Air, MD 21014-4172 | 2013-01-23 |
| 1922230002 | Eiad Nasser | Internal Medicine | 510 Upper Chesapeake Dr Ste 416, Bel Air, MD 21014-4336 | 2009-08-21 |
| 1194959650 | Francis A Pisciotta | Internal Medicine | 522 N Hickory Ave, Bel Air, MD 21014-3229 | 2009-05-12 |
| 1538330964 | Qun Cindy Cindy Gao | Internal Medicine | 510 Upper Chesapeake Drive, Suite 416, Bel Air, MD 21014 | 2008-03-13 |
| 1346261278 | Moorkath S Unni | Internal Medicine | 602 S Atwood Rd, Suite 106, Bel Air, MD 21014 | 2006-07-23 |
| 1356303853 | Harford Gastroenterology Associates Pa | Internal Medicine | 510 Upper Chesapeake Dr, Suite 416, Bel Air, MD 21014-4328 | 2006-04-03 |
| 1598727091 | Asheesh Sood | Internal Medicine | 510 Upper Chesapeake Dr Ste 416, Bel Air, MD 21014-4336 | 2006-04-03 |
| 1407818909 | Ashok Kumar Narang | Internal Medicine | 510 Upper Chesapeake Dr, Suite 416, Bel Air, MD 21014-4328 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477160984 | Lifebridge Community Physicians Inc | Internal Medicine | 8875 Centre Park Dr Ste D, Columbia, MD 21045-2382 | 2020-09-29 |
| 1790318657 | Margaret Geraldine Keane | Internal Medicine | Sheikh Zayed Tower, 1800 Orleans St, Baltimore, MD 21287 | 2020-02-19 |
| 1093354698 | Urooj Ahmed | Internal Medicine | 11110 Medical Campus Rd Ste 250, Hagerstown, MD 21742-6756 | 2019-12-30 |
| 1588155733 | Maryland Inpatient Specialist LLC | Internal Medicine | 10110 Molecular Dr Ste 109, Rockville, MD 20850-7538 | 2018-05-23 |
| 1750709333 | Alireza Meighani | Internal Medicine | 7501 Surratts Rd Ste 206, Clinton, MD 20735-3373 | 2014-04-01 |
| 1689912677 | Donald Edward Wilson | Internal Medicine | 20 Penn St, Baltimore, MD 21201-1075 | 2013-01-25 |
| 1124374418 | Ruhail Kohli | Internal Medicine | 4940 Eastern Ave Fl 5, Baltimore, MD 21224 | 2012-07-24 |
| 1922364959 | Huimin Yu | Internal Medicine | 600 N Wolfe St Bldg 9, Baltimore, MD 21287-0005 | 2012-04-04 |
| 1700175635 | David Stuart Jencks | Internal Medicine | 820 Bestgate Rd Ste 2a, Annapolis, MD 21401 | 2011-03-31 |
| 1134438575 | Boo Keun Kim, Md, Pa | Internal Medicine | 8921 Shady Grove Court, Gaithersburg, MD 20877-1308 | 2010-10-04 |
| Find all providers with the same taxonomy | ||||
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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.