DR. STANLEY S PARK (NPI# 1730421983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730421983 |
| Entity Type | Individual |
| Full Name | DR. STANLEY S PARK |
| Credential | MD |
| Practice Address |
608 Stanton L Young Blvd Oklahoma City OK 73104 |
| Mailing Address |
608 Stanton L Young Blvd Oklahoma City OK 73104-5014 |
| Practice Telephone | 4052716060 |
| Practice Fax Number | 4052711926 |
| Mailing Telephone | 4052716060 |
| Mailing Fax Number | 4052711926 |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2018-07-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 33895 | OK | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | ME131171 | FL | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 57.023658 | OH | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
33895 | OK | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3535 Olentangy River Rd, Columbus, OH 432143908 | 6145663322 | 6145661073 |
| 900 Nw 17th St, Miami, FL 331361119 | 3053266000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235294943 | Stanley S. Park | Pediatrics | 5300 Clinton Plaza Drive, Knoxville, TN 37912-3830 | 2006-12-22 |
| 1285798306 | Stanley J Park | Dentist | 10025 Governor Warfield Pkwy Ste 218, Columbia, MD 21044-3340 | 2006-12-21 |
| Street Address |
608 STANTON L YOUNG BLVD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013998681 | Cynthia A Bradford | Ophthalmology | 608 Stanton L Young Blvd, Oklahoma City, OK 73104-5014 | 2005-11-09 |
| 1023675501 | Cynthia K Mcclard | Ophthalmology | 608 Stanton L Young Blvd, Oklahoma City, OK 73104-5014 | 2019-05-21 |
| 1730648551 | Christian Alberto Leal | Student in an Organized Health Care Education/Training Program | 608 Stanton L Young Blvd, Oklahoma City, OK 73104-5014 | 2019-03-19 |
| 1295294346 | Tyler Christian Friske | Ophthalmology | 608 Stanton L Young Blvd, Dmei 509, Oklahoma City, OK 73104 | 2019-03-18 |
| 1235617051 | Farzad Jamshidi | Ophthalmology | 608 Stanton L Young Blvd, Oklahoma City, OK 73104 | 2018-08-02 |
| 1558867143 | Jon Christian Berry | Ophthalmology | 608 Stanton L Young Blvd, Oklahoma City, OK 73104-5014 | 2018-04-02 |
| 1336643022 | Rupin Nitin Parikh | Ophthalmology | 608 Stanton L Young Blvd, Oklahoma City, OK 73104-5014 | 2018-03-19 |
| 1023548328 | Jila Noorikolouri | Ophthalmology | 608 Stanton L Young Blvd, Oklahoma City, OK 73104-5065 | 2017-06-19 |
| 1740711357 | Alice Yon Kim | Ophthalmology | 608 Stanton L Young Blvd, Oklahoma City, OK 73104 | 2017-03-24 |
| 1598218372 | Gerta Mane | Ophthalmology | 608 Stanton L Young Blvd, Oklahoma City, OK 73104-5014 | 2016-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861918146 | Robert E Leonard II Md Pllc | Ophthalmology | 12318 Saint Andrews Dr, Oklahoma City, OK 73120-8604 | 2017-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386932333 | Michael Philip Hood | Ophthalmology | 1008 Nw 139th Street Pkwy, Edmond, OK 73013-9791 | 2011-07-12 |
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
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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.