IN YOUNG PARK (NPI# 1770534042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770534042 |
| Entity Type | Individual |
| Full Name | IN YOUNG PARK |
| Credential | MD |
| Practice Address |
2951 W Front Street Clinch Valley Medical Plaza Suite 1600 Richlands VA 24641 |
| Practice Telephone | 2769644001 |
| Practice Fax Number | 2769644003 |
| Mailing Telephone | 2769644001 |
| Mailing Fax Number | 2769644003 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | 0101029175 | VA | Allopathic & Osteopathic Physicians |
| X | 207RN0300X |
Internal Medicine Specialization: Nephrology |
0101029175 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 5879884 | 05 | |
| VA | ANTHEM | 236308 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306008685 | In H Park | Acupuncturist | 421 N Brookhurst St Ste 218, Anaheim, CA 92801-5619 | 2008-06-27 |
| 1881683571 | In Sook Park | Psychiatry & Neurology | 350 Montevue Ln, Frederick, MD 21702-8214 | 2005-10-17 |
| Street Address |
2951 W FRONT STREET CLINCH VALLEY MEDICAL PLAZA SUITE 1600 |
| City | RICHLANDS |
| State | VA |
| Zip Code | 24641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154473296 | Clinch Valley Nephrology Inc | Internal Medicine | 2951 W Front Street, Cvmp Suite B800, Richlands, VA 24641 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819374 | Natasha Ramey | Registered Nurse | 6801 Gov George C Peery Highway, Richlands, VA 24641 | 2020-04-06 |
| 1881133585 | Amanda Combs | Nurse Practitioner | 6719 Governor G.c. Perry Highway Suit 3100, Richlands, VA 24641 | 2017-02-15 |
| 1740635549 | Najlaa Jaleesah | Emergency Medicine | 6801 Gov George C. Peery Hwy, Richlands, VA 24641 | 2016-04-28 |
| 1578817938 | Clinch Valley Vascular Surgical Assoc., Pllc | Surgery | 6719 Gov. G.c. Peery Highway, Suite 2600, Richlands, VA 24641 | 2012-11-06 |
| 1033461777 | Carol Keen | Nurse Practitioner | 6719 Gov Gc Perry Hwy, Richlands, VA 24641 | 2012-10-04 |
| 1487930905 | Sami Abdul Jawad | Internal Medicine | 6801 Governor George C. Peery Hwy, Richlands, VA 24641 | 2011-10-28 |
| 1134403090 | Clinch Valley Vascular Surgery Associates | General Acute Care Hospital | 6719 Gov G. C. Peery Highway, 2600, Richlands, VA 24641 | 2011-10-10 |
| 1699089953 | Suasin Cancer Care, Inc. | Radiology | 6801 Gov.g.c. Peery Hwy, Richlands, VA 24641 | 2010-07-28 |
| 1902122922 | Hao Duy Pham | Surgery | 6719 Governor Gc Peery Hwy Ste 2600, Richlands, VA 24641 | 2010-04-15 |
| 1144477134 | Paul R Goyt | Emergency Medicine | 6801 Governor G C Peery Hwy, Richlands, VA 24641 | 2008-08-21 |
| Find all providers in zip 24641 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1487930905 | Sami Abdul Jawad | Internal Medicine | 6801 Governor George C. Peery Hwy, Richlands, VA 24641 | 2011-10-28 |
| 1952560799 | Pavan Kumar Karnati | Internal Medicine | 6719 Gov. G. C. Peery Hwy, Suite 2800, Richlands, VA 24641 | 2008-06-06 |
| 1265606966 | Khalid Mehmood | Internal Medicine | 6801 Gov. G.c. Peery Hwy, Richlands, VA 24641 | 2008-04-15 |
| 1558452482 | Ravi Kumar Titha | Internal Medicine | 3150 Clinch Street Suite 204, Washington Square Clinic, Richlands, VA 24641 | 2006-09-27 |
| 1649261090 | Jamal Iskandar Sahyouni | Internal Medicine | 6719 Gov.g.c.perry Hwy, Clinch Valley Medical Plaza Suite 1600, Richlands, VA 24641-1100 | 2005-11-03 |
| 1730407081 | Deepti Karnati | Internal Medicine | 6719 Governor G C Peery Highway, Suite # 2900, Richlands, VA 24641-2197 | 2010-05-12 |
| 1679800700 | Tushar G. Patel, M.d. P.C. | Internal Medicine | 3150 Clinch St, Suite 106, Richlands, VA 24641-2159 | 2009-11-10 |
| 1073745840 | Jamal I. Sahyouni, M.d., P.C. | Internal Medicine | 2951 Front St, Clinch Valley Medical Center, Ste. 1600, Richlands, VA 24641-2055 | 2009-08-12 |
| 1043292501 | William Crawford Hunter | Internal Medicine | 1 Clinic Dr, Claypool Hill, Richlands, VA 24641-1100 | 2005-11-18 |
| 1588646459 | Thomas Brian Cortellesi | Internal Medicine | One Clinic Drive, Claypool Hill, Richlands, VA 24641-1100 | 2005-11-16 |
| Find all providers in RICHLANDS | ||||
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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.