KYUNG WON PARK (NPI# 1770688269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770688269 |
| Entity Type | Individual |
| Full Name | KYUNG WON PARK |
| Credential | MD |
| Practice Address |
1320 West Main Street Newark OH 43055 |
| Practice Telephone | 2205644226 |
| Practice Fax Number | 2205644217 |
| Mailing Telephone | 2205644226 |
| Mailing Fax Number | 2205644217 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2017-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 35.091612 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2868615 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215321070 | Kyung Hyun Park | Pharmacist | Loma Linda University School of Pharmacy, Shryock Hall, Loma Linda, CA 92350-0001 | 2015-03-19 |
| 1871704916 | Kyung Sook Park | Acupuncturist | 4706 Nathan Hale Dr Apt 304, Annandale, VA 22003-4985 | 2007-05-24 |
| 1669518676 | Kyung Wook Park | Dentist | 44031 Pipeline Plz, Suite 215, Ashburn, VA 20147-5887 | 2007-01-29 |
| 1649287152 | Kyung Sook Park | Specialist | 3484 Stevens Creek Blvd, Suite D, San Jose, CA 95117-1000 | 2006-08-01 |
| 1568454049 | Kyung Soon Park | Specialist | 575 Coal Valley Road, Suite 504, Clairton, PA 15025-3729 | 2005-08-19 |
| 1255996864 | Kyung Joong Park | Naturopath | 530 S 336th St, Federal Way, WA 98003-6383 | 2019-05-08 |
| 1194083154 | Kyung Park | Pathology | 272 Main St, 2f, Stamford, CT 06901 | 2012-04-27 |
| 1013283613 | Kyung Mook Park | Dentist | 1034 N Willis St, Abilene, TX 79603-4622 | 2012-03-28 |
| 1942210570 | Kyung I. Park | Psychiatry & Neurology | 12362 Beach Blvd, #10, Stanton, CA 90680-3935 | 2006-08-08 |
| 1114951522 | Kyung Sun Park | Obstetrics & Gynecology | 100 Stevens Ave, 7th Floor, Mount Vernon, NY 10550-2600 | 2006-07-10 |
| Street Address |
1320 WEST MAIN STREET |
| City | NEWARK |
| State | OH |
| Zip Code | 43055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942200993 | Rebecca Thomas | Nurse Anesthetist, Certified Registered | 1320 West Main Street, Newark, OH 43055 | 2005-07-29 |
| 1679079016 | Megan Marie Lowry | Nurse Practitioner | 1320 West Main Street, Newark, OH 43055 | 2018-04-04 |
| 1104206564 | Brendan Divis | Anesthesiology | 1320 West Main Street, Newark, OH 43055 | 2015-06-01 |
| 1366862906 | Andrew Reaven | Anesthesiology | 1320 West Main Street, Newark, OH 43055-1822 | 2014-04-22 |
| 1518302066 | Leah Thornton | Anesthesiology | 1320 West Main Street, Newark, OH 43055 | 2013-05-09 |
| 1780926337 | John Peter Lazar | Pediatrics | 1320 West Main Street, Newark, OH 43055 | 2013-03-21 |
| 1669713483 | Brian F Goodhue | Emergency Medicine | 1320 West Main Street, Newark, OH 43055 | 2013-03-04 |
| 1760732374 | Amanda Sofia Davila Rodriguez | Pediatrics | 1320 West Main Street, Newark, OH 43055 | 2012-09-12 |
| 1124373535 | Jason D Carrier | Nurse Anesthetist, Certified Registered | 1320 West Main Street, Newark, OH 43055 | 2012-07-23 |
| 1033484548 | Deforest Roche Brown | Nurse Anesthetist, Certified Registered | 1320 West Main Street, Newark, OH 43055 | 2012-03-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164954566 | Michael Chukwuemeka Ndukwe | Anesthesiology | 185 S Orange Ave # Msbf-603, Newark, NJ 07103-2757 | 2017-04-03 |
| 1003158718 | Anna Korban | Anesthesiology | 185 S Orange Ave # Msbf-611, Newark, NJ 07103-2757 | 2013-03-20 |
| 1750645982 | Akwasi Peprah Amponsah Jr. | Anesthesiology | 150 Bergen St # Streete, Newark, NJ 07103 | 2012-07-03 |
| 1285994582 | Shachi C Patel | Anesthesiology | 1 Centurian Dr Ste 110, Newark, DE 19713-2154 | 2012-05-21 |
| 1407122609 | Uchenna Anthony Madubuko | Anesthesiology | 550 S 19th St, Newark, NJ 07103 | 2012-04-02 |
| 1154692077 | Michael Suleiman Marji | Anesthesiology | St. Michael's Medical Center, 111 Central Avenue, Newark, NJ 07102 | 2012-01-24 |
| 1326351271 | Michal Gajewski | Anesthesiology | 185 S. Orange Ave., Msb E-538, Newark, NJ 07103 | 2010-07-21 |
| 1336374149 | Daisy Munoz | Anesthesiology | 651 N 6th St, Newark, NJ 07107-2505 | 2009-05-22 |
| 1043453657 | Da Wang | Anesthesiology | 185 S Orange Ave Rm E-538, Newark, NJ 07103-2757 | 2009-04-13 |
| 1609020049 | Corazon G. Tablang Md PC | Anesthesiology | 10 Darwin Dr Ste C, Darwin Professional Center, Newark, DE 19711-6658 | 2008-11-12 |
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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.