GREGORY PARK MD INC (NPI# 1699849034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699849034 |
| Entity Type | Organization |
| Organization Name | GREGORY PARK MD INC |
| Practice Address |
30 N Church St Wailuku HI 96793-1600 |
| Mailing Address |
Seven Waterfront Plaza 500 Ala Moana Blvd., Suite 300 Honolulu HI 96813 |
| Practice Telephone | 8082447627 |
| Practice Fax Number | 8082432272 |
| Mailing Telephone | 8085211317 |
| Mailing Fax Number | 8085331482 |
| Enumeration Date | 2006-11-18 |
| Last Update Date | 2010-02-03 |
| Authorized Official Name | DR. GREGORY PARK (PRESIDENT) |
| Authorized Official Telephone | 8082447627 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
MD3915 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
30 N CHURCH ST |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861497596 | Gregory Park | Internal Medicine | 30 N Church St, Wailuku, HI 96793-1600 | 2005-06-17 |
| 1386901148 | Celeste Adrian M.d., LLC | Clinic/Center | 30 N Church St, Ste 300, Wailuku, HI 96793-1600 | 2012-04-18 |
| 1962659714 | The Women's Health Center of Maui, LLC | Specialist | 30 N Church St, Suite 300, Wailuku, HI 96793-1600 | 2008-08-23 |
| 1144485947 | Robin Renee Hallman | Family Medicine | 30 N Church St, Suite 100, Wailuku, HI 96793-1600 | 2008-07-22 |
| 1548452915 | Charles William Bennett | Obstetrics & Gynecology | 30 N Church St, Suite 300, Wailuku, HI 96793-1600 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558545681 | Customized Therapeutics LLC | Internal Medicine | 75-5995 Kuakini Hwy Ste 427, Kailua Kona, HI 96740-2123 | 2007-12-26 |
| 1871917633 | Kitty Victoria | Internal Medicine | 79-1019 Haukapila St, Kealakekua, HI 96750-7920 | 2014-02-13 |
| 1518244631 | Kevin Kai-tsu Loh | Internal Medicine | 1650 Liliha St, Suite 105, Honolulu, HI 96817-3169 | 2011-11-03 |
| 1568526358 | Charles F Miller | Internal Medicine | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2006-12-19 |
| 1841384732 | Aileen E. Suzui | Internal Medicine | 1329 Lusitana St, Suite 307, Honolulu, HI 96813-2429 | 2006-10-03 |
| 1346340239 | Clayton V. Chan | Internal Medicine | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2006-09-22 |
| 1417961038 | Reuben C. Guerrero | Internal Medicine | 888 S King St, Honolulu, HI 96813-3009 | 2006-07-28 |
| 1841267770 | Clayton D.k. Chong | Internal Medicine | 1380 Lusitana St, #608, Honolulu, HI 96813-2449 | 2006-02-28 |
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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.