GRACE PARK (NPI# 1760951875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760951875 |
| Entity Type | Individual |
| Full Name | GRACE PARK |
| Practice Address |
9005 Chevrolet Dr Ellicott City MD 21042-4009 |
| Mailing Address |
812 The Old Station Ct Woodbine MD 21797-8760 |
| Practice Telephone | 4435380675 |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | U02473 | MD | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679970859 | Grace Park | Chiropractor | 20627 Golden Springs Dr., 2-b, Diamond Bar, CA 91789 | 2014-12-03 |
| 1710261243 | Grace Eunhye Park | Pharmacist | 125-133 3rd Ave, New York, NY 10003-2543 | 2011-10-03 |
| 1164677464 | Grace Jiyoung Park | Family Medicine | 15446 S. Western Ave, Southern California Permanente Medical Group, Gardena, CA 90249 | 2008-12-01 |
| 1619147592 | Grace Lee Park | Family Medicine | 1109 S. Lincoln Ave., Mckinley Health Center, Urbana, IL 61801 | 2008-03-06 |
| 1033311634 | Grace S Park | Acupuncturist | 7122 Bon Villa Cir, La Palma, CA 90623-1167 | 2007-06-05 |
| 1871602722 | Grace Eunkyoung Park | Dentist | 1024 Sw Highland Dr, #a, Gresham, OR 97080-6353 | 2006-08-30 |
| 1770551954 | Grace E. Park | Pharmacist | 11655 Riverside Dr, North Hollywood, CA 91602-1021 | 2006-03-14 |
| 1639707573 | Grace Park | Student in an Organized Health Care Education/Training Program | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-03-27 |
| 1730739152 | Grace Hyeyoung Park | Pharmacist | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2019-09-17 |
| 1407410004 | Grace Park | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Charlottesville, VA 22908-0816 | 2019-04-29 |
| Street Address |
9005 CHEVROLET DR |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21042-4009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316938228 | Ali Reza Sedighian | Dentist | 9005 Chevrolet Dr, Suite 1, Ellicott City, MD 21042-4009 | 2005-10-31 |
| 1649447095 | Philip T Kim | Dentist | 9005 Chevrolet Dr, Suite 3, Ellicott City, MD 21042-4009 | 2008-05-14 |
| 1134302797 | Mercy Chiropractic and Rehabilitation Clinic, LLP | Chiropractor | 9005 Chevrolet Dr, Suite 4, Ellicott City, MD 21042-4009 | 2007-12-06 |
| 1437278025 | Jake J Park | Chiropractor | 9005 Chevrolet Dr, Suite 4, Ellicott City, MD 21042-4009 | 2007-03-28 |
| 1063599207 | Jack Dennis Vandermer | Dentist | 9005 Chevrolet Dr, Ellicott City, MD 21042-4009 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950792 | Danielle Coliukos | Student in an Organized Health Care Education/Training Program | 3006 Fawnwood Dr, Ellicott City, MD 21042 | 2019-03-11 |
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1902375009 | Sharon N Allen | Speech-Language Pathologist | Hcpss, 10910 Clarksville Pike, Ellicott City, MD 21042 | 2018-11-19 |
| 1043700412 | Samirawit Hailemariam | Registered Nurse | 9527 Liverpool Lane, Ellicott City, MD 21042 | 2018-05-11 |
| 1144771965 | Maryland Psychotherapy Services | Community/Behavioral Health | 7054 Dorsey Hall Dr., Suite 104, Ellicott City, MD 21042 | 2016-10-17 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1942676952 | Hyoung Keun Kim | Dentist | 10033 Baltimore Pike Suite 320, Ellicott City, MD 21042 | 2015-08-13 |
| 1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
| 1821407719 | Zulema Roberts | Counselor | 3355 St. Johns Lane, Suite F, Ellicott City, MD 21042 | 2014-08-05 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| Find all providers in zip 21042 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399356 | Young Joo Kim | Acupuncturist | 3237 Corporate Ct, Ellicott City, MD 21042-2247 | 2019-11-04 |
| 1386287076 | Joni Reiss | Acupuncturist | 8344 Main St, Ellicott City, MD 21043-4653 | 2019-10-24 |
| 1538715131 | Balance Acupuncture & Wellness Center LLC | Acupuncturist | 3454 Ellicott Center Dr Ste 104, Ellicott City, MD 21043-4130 | 2019-08-11 |
| 1437623725 | Soon Sik Park | Acupuncturist | 3344 Saint Johns Ln, Ellicott City, MD 21042-2601 | 2019-01-20 |
| 1609340553 | Chengri Xu | Acupuncturist | 3237a Corporate Ct Fl 2, Ellicott City, MD 21042-2247 | 2019-01-14 |
| 1235602681 | Ran Zhang | Acupuncturist | 10268 Baltimore National Pike, Ellicott City, MD 21042-3609 | 2019-01-08 |
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1013424829 | Calling Acupuncture Clinic Inc. | Acupuncturist | 3240 Corporate Ct Ste D, Ellicott City, MD 21042-2273 | 2018-01-02 |
| 1780198945 | East Point Md LLC | Acupuncturist | 3213a Corporate Ct, Ellicott City, MD 21042-2247 | 2017-11-27 |
| 1356854301 | Jinfang Ma | Acupuncturist | 10569 Old Ellicott Cir, Ellicott City, MD 21042-2277 | 2017-11-13 |
| Find all providers in ELLICOTT CITY | ||||
| City | ELLICOTT CITY |
| Zip Code | 21042 |
Please comment or provide details below to improve the information on GRACE PARK.
| 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.