DR. JOON H PARK (NPI# 1700031952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700031952 |
| Entity Type | Individual |
| Full Name | DR. JOON H PARK |
| Credential | M.D. |
| Practice Address |
430 W Centre Ave Portage MI 49024 |
| Practice Telephone | 2693216673 |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 4301065839 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952953127 | Joon Park | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2019-07-09 |
| 1952861213 | Joon Park | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2019-03-22 |
| 1295251106 | Joon Park | Dentist | 687 E Linton Ave, Springfield, IL 62703-5902 | 2017-08-22 |
| 1982022737 | Joon Suk Park | Internal Medicine | 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 | 2014-03-30 |
| 1891052882 | Joon Hyung Park | Dentist | 1001 Clifton Ave, Clifton, NJ 07013-3586 | 2012-04-16 |
| 1205095924 | Joon Park | Family Medicine | 4904 19th Ave, Astoria, NY 11105-1002 | 2008-06-06 |
| 1972798452 | Joon Y Park | Physical Therapist | 3545 Wilshire Blvd Ste 250, Los Angeles, CA 90010-2389 | 2007-09-07 |
| 1699894709 | Joon Sung Park | Internal Medicine | 521 E Michigan Ave, Suite 201, Kalamazoo, MI 49007-3889 | 2007-03-28 |
| 1447314331 | Joon Hong Park | Allergy & Immunology | 75 Crystal Run Rd, Suite 220, Middletown, NY 10941-7000 | 2006-12-22 |
| 1881626224 | Joon Il Park | Internal Medicine | 8830 Long Point, Suite 402, Houston, TX 77055 | 2006-07-07 |
| Street Address |
430 W CENTRE AVE |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942204680 | Michael Park | Allergy & Immunology | 430 W Centre Ave, Portage, MI 49024-5304 | 2005-06-10 |
| 1487100350 | Park Allergy Center PC | Allergy & Immunology | 430 W Centre Ave, Portage, MI 49024-5304 | 2016-08-30 |
| 1649234980 | Paragon Health, P.C. | Allergy & Immunology | 430 W Centre Ave, Portage, MI 49024-5304 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1568602050 | Visiting Home Md | General Practice | 4239 Isabelle St, Portage, MI 49024-1770 | 2009-02-24 |
| 1669682951 | Housecall Physicians of Southwest Michigan Plc | General Practice | 5084 Lovers Ln, Portage, MI 49002-1557 | 2007-05-23 |
| 1013911031 | Donald James Maddack | General Practice | 3125 Willowcreek Rd, Portage, IN 46368-4423 | 2005-06-08 |
| 1790092500 | Mid Michigan Home Visiting Doctors LLC | General Practice | 640 Romence Rd, Suite 215, Portage, MI 49024-3464 | 2010-09-01 |
| 1104083179 | Mitchell Aaron Cohn | General Practice | 1416 W Milham Ave, Portage, MI 49024-2245 | 2008-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649120 | Source Medical Solutions Pllc | General Practice | 625 Kenmoor Ave Se Ste 301, Grand Rapids, MI 49546-2395 | 2020-11-06 |
| 1043832801 | Ksk Medical Pllc | General Practice | 6300 Winter Rd, Manitou Beach, MI 49253-9634 | 2020-05-14 |
| 1275184921 | Home Physicians Group Inc | General Practice | 18481 W 10 Mile Rd Ste 102, Southfield, MI 48075-2621 | 2019-09-24 |
| 1558913251 | Baybrooke Counseling | General Practice | 421 St. Josephs Ave, Suttons Bay, MI 49682 | 2019-07-12 |
| 1962062539 | Healthcare Alliance Pllc | General Practice | 35 S Johnson St Ste 1b, Pontiac, MI 48341-1660 | 2019-06-17 |
| 1356905061 | Comprehensive Care Medical Services | General Practice | 1747 Andover Ln Se, East Grand Rapids, MI 49506-4805 | 2019-04-29 |
| 1336602812 | Mk Certified, LLC | General Practice | 2140 Stone Rd, Ann Arbor, MI 48105-2535 | 2019-04-10 |
| 1215422555 | The Natural Momma Me Initiative | General Practice | 11000 W Mcnichols Rd Ste 212, Detroit, MI 48221-2389 | 2018-06-28 |
| 1881183028 | Silverstone Medical Group, Pllc | General Practice | 805 Oakwood Dr Ste 111, Rochester, MI 48307-1359 | 2018-05-03 |
| 1245739903 | Breanna Lee Brookens | General Practice | 1531 Barnard St, Saginaw, MI 48602-4902 | 2018-02-08 |
| 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.