ANGELA M PARK (NPI# 1720042013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720042013 |
| Entity Type | Individual |
| Full Name | ANGELA M PARK |
| Credential | MD |
| Practice Address |
1001 Newman Rd New Bern NC 28562-5253 |
| Mailing Address |
Po Box 896206 Charlotte NC 28289-6206 |
| Practice Telephone | 2526356777 |
| Practice Fax Number | 2526343183 |
| Mailing Telephone | 2526356777 |
| Mailing Fax Number | 2526343183 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2017-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
200600085 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 142C6 | 01 |
| NC | 5903061 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710361399 | Angela Park | Pharmacy | 3614 Union St, Flushing, NY 11354-4317 | 2015-07-14 |
| 1144538414 | Angela Park | Speech-Language Pathologist | 150 Rockwood Pl, Englewood, NJ 07631-5028 | 2010-09-20 |
| 1457545014 | Angela Marie Park | Pharmacist | 421 N. Main St, Department of Veterans Affairs Medical Center, Leeds, MA 01053 | 2007-08-28 |
| 1104447341 | Angela Park | Student in an Organized Health Care Education/Training Program | 5348 University Ave Ste 108, San Diego, CA 92105-8025 | 2020-04-28 |
| 1063073096 | Angela Park | Internal Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2019-06-20 |
| 1013402684 | Angela Park | Pharmacist | 5100 Dixie Hwy, Louisville, KY 40216-1702 | 2018-06-26 |
| 1407349236 | Angela Marie Park | Nurse Practitioner | 25700 Science Park Dr Ste 210, Beachwood, OH 44122-7328 | 2018-06-06 |
| 1730582321 | Angela Park | Student in an Organized Health Care Education/Training Program | 1300 Roanoke Ave, Riverhead, NY 11901-2031 | 2014-09-27 |
| 1437443397 | Angela S Park | Pharmacist | 3433 Sepulveda Blvd, T-0200, Torrance, CA 90505-2606 | 2011-06-07 |
| 1104137355 | Angela Park | Pharmacist | 1637 P St Nw, Washington, DC 20036-1403 | 2010-06-22 |
| Street Address |
1001 NEWMAN RD |
| City | NEW BERN |
| State | NC |
| Zip Code | 28562-5253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336766369 | Dustin Ross Grimes | Nurse Practitioner | 1001 Newman Rd, New Bern, NC 28562-5253 | 2020-06-25 |
| 1821613381 | Dawnelle Pierce Holadia | Nurse Practitioner | 1001 Newman Rd, New Bern, NC 28562-5253 | 2020-06-10 |
| 1164073607 | Diana Carolina Pulido | Nurse Practitioner | 1001 Newman Rd, New Bern, NC 28562-5253 | 2019-09-26 |
| 1568870905 | Mallory G Salter | Nurse Practitioner | 1001 Newman Rd, New Bern, NC 28562-5253 | 2014-07-29 |
| 1104066794 | Carolinaeast Physicians | Family Medicine | 1001 Newman Rd, New Bern, NC 28562-5253 | 2009-02-23 |
| 1265507370 | Christopher John Hudson | Internal Medicine | 1001 Newman Rd, New Bern, NC 28562 | 2006-11-22 |
| 1558444216 | Scott A. Sample | Internal Medicine | 1001 Newman Rd, New Bern, NC 28562-5253 | 2006-10-23 |
| 1245327170 | Matthew Adam Levine | Internal Medicine | 1001 Newman Rd, New Bern, NC 28562-5253 | 2006-10-10 |
| 1043306012 | Dusty L Scott | Physician Assistant | 1001 Newman Rd, New Bern, NC 28562-5253 | 2006-10-05 |
| 1144323957 | Billy L Glass | Internal Medicine | 1001 Newman Rd, New Bern, NC 28562-5253 | 2006-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235741943 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 2026 Waterscape Way Ste 13, New Bern, NC 28562 | 2020-08-24 |
| 1023677234 | Katie Rebecca Masters Dmd Pllc | Dentist | 2900 Doctor M L K Jr. Blvd, New Bern, NC 28562 | 2019-06-11 |
| 1093281750 | Try-care LLC | Mechanotherapist | 37 Shoreline Dr, New Bern, NC 28562 | 2018-10-22 |
| 1376021949 | Maykin Kimberly Boyd | Social Worker | 1405 A South Glenburnie Rd, New Bern, NC 28562 | 2018-08-05 |
| 1770069288 | Rebecca Ann Anderson Bright | Counselor | 3435 Belmont Blvd, New Bern, NC 28562 | 2018-07-17 |
| 1841799814 | Dallin Page | Physical Therapist | 2111 Neuse Blvd Suite K, New Bern, NC 28562 | 2018-02-06 |
| 1467960476 | Randolph Ntoko Esabe | Pharmacist | 258 Station House Rd, New Bern, NC 28562 | 2018-01-12 |
| 1881100568 | Reid Family Eye Care, Od, Pllc | Optometrist | 3105 Doctor M.l.k. Jr. Blvd, New Bern, NC 28562 | 2017-12-18 |
| 1851742050 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 2032 Waterscape Way, New Bern, NC 28562 | 2016-06-29 |
| 1609241868 | Victor Montoyaamaya | Military Health Care Provider | 3331 Hardee Farms Dr, New Bern, NC 28562 | 2015-12-14 |
| Find all providers in zip 28562 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 |
|---|---|---|---|---|
| 1316120017 | Anil K Gehi | Internal Medicine | 6025 Burnett Womack Bldg Cb 7075, 160 Dental Circle, Chapel Hill, NC 27599-7075 | 2007-12-17 |
| 1114076395 | David W Frazier | Internal Medicine | 2340 Hemby Lane, Suite 100, Greenville, NC 27834 | 2007-01-09 |
| 1275557571 | Sherry Saxonhouse | Internal Medicine | 307 Yadkin St, Albemarle, NC 28001-3441 | 2006-07-27 |
| 1588624217 | Hemantkumar Patel | Internal Medicine | 800 Jefferson St, Ste 112, Whiteville, NC 28472-3710 | 2006-03-25 |
| 1922009935 | Sanjay Prasher | Internal Medicine | 2301 Robeson St, Suite 301, Fayetteville, NC 28305-5640 | 2005-08-02 |
| 1154320307 | John Mark Englehardt | Internal Medicine | 3324 Six Forks Rd, Raleigh, NC 27609-7233 | 2005-07-19 |
| 1801495387 | Gillian Grace Winter | Internal Medicine | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-10-26 |
| 1063077436 | Wakemed Specialists Group, LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-05-01 |
| 1780076000 | Wake Specialty Physicians LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2015-02-24 |
| 1851782593 | Wake Specialty Physicians LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2015-02-17 |
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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.