DR. WILLIAM ISAIAH PARK IV (NPI# 1780642710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780642710 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM ISAIAH PARK IV |
| Credential | MD |
| Practice Address |
6144 Airport Blvd Mobile AL 36608-3143 |
| Mailing Address |
Po Box 86144 Mobile AL 36689-6144 |
| Practice Telephone | 2514765050 |
| Practice Fax Number | 2514502770 |
| Mailing Telephone | 2514765050 |
| Mailing Fax Number | 2514502770 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2010-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
00024958 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TAX ID | 631187140 | 01 | |
| MS | 0126962 | 05 | |
| AL | 051552744 | 05 | |
| AL | BCBS | 051512928 | 01 |
| RAILROAD MEDICARE | 200045417 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434499 | William K Park | Student in an Organized Health Care Education/Training Program | 5 Twin Ave, Spring Valley, NY 10977-3950 | 2020-07-11 |
| 1750572251 | William Thomas Park | Pharmacist | 101 Cibeque Circle, San Carlos, AZ 85550 | 2007-08-08 |
| 1598837924 | William H Park | Social Worker | 933 First Colonial Rd Ste 202, Virginia Beach, VA 23454-3172 | 2006-11-14 |
| 1174612667 | William Christopher Park | Marriage & Family Therapist | 1430 East Ave Ste 2b, Chico, CA 95926-1629 | 2006-10-12 |
| 1821002288 | William Byung Ho Park | Anesthesiology | 9828 Garden Grove Blvd Ste 201, Garden Grove, CA 92844-1659 | 2006-07-28 |
| 1710446026 | William Young Park | Student in an Organized Health Care Education/Training Program | 811 Massachusetts Ave, Boston, MA 02118-2605 | 2019-03-16 |
| 1083061154 | William Park | Student in an Organized Health Care Education/Training Program | 333 Cedar St, Tmp 3 Ynhh - Dept Anesthesiology, New Haven, CT 06510-3206 | 2016-05-18 |
| 1942458237 | William C. Park | Ophthalmology | 1588 N Arlington Heights Rd, Arlington Heights, IL 60004-3906 | 2008-08-29 |
| 1558487462 | William Howard Park | Optometrist | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2007-03-22 |
| 1871651190 | William Edward Park | Dentist | 629 Main St, Point Pleasant, WV 25550-1120 | 2006-12-06 |
| Street Address |
6144 AIRPORT BLVD |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-3143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265410658 | Albert Fox Haas | Orthopaedic Surgery | 6144 Airport Blvd, Mobile, AL 36608 | 2006-01-05 |
| 1205489804 | Jonathon Andrew Gibson | Orthopaedic Surgery | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2019-07-23 |
| 1275197212 | Sarah Scott West | Registered Nurse | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2019-04-25 |
| 1508345968 | Vincent Clay Cochran | Physical Therapist | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2018-08-07 |
| 1346756160 | Nicholas K Bolling | Physician Assistant | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2017-12-15 |
| 1770003436 | Katherine Elizabeth Metzger | Occupational Therapist | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2017-06-23 |
| 1275065062 | Adam Robert Smith | Registered Nurse | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2017-03-30 |
| 1912442401 | Christopher Choquette | Registered Nurse | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2016-12-20 |
| 1811448129 | Joshua Glen Pyeatt | Physician Assistant | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2016-10-21 |
| 1174978464 | Amanda Ladner | Registered Nurse | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2016-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083871131 | Grantham Mcaleer Shell | Orthopaedic Surgery | 3610 Springhill Memorial Dr N, Mobile, AL 36608-1162 | 2008-05-16 |
| 1437114402 | Mark Donald Perry | Orthopaedic Surgery | 1601 Center St, Ste 3n, Mobile, AL 36604-1512 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417022237 | Alabama Orthopaedic Clinic, PC | Orthopaedic Surgery | 7101 Us Highway 98 Ste 203, Daphne, AL 36526-9512 | 2006-11-21 |
| 1629021654 | Roswell Charles Morley | Orthopaedic Surgery | 4715 Whitesburg Dr S, Huntsville, AL 35802-1632 | 2006-05-19 |
| 1215407226 | Affinity Orthopedic Specialists LLC | Orthopaedic Surgery | 5018 Cahaba River Rd, Vestavia, AL 35243-2317 | 2018-12-03 |
| 1528357233 | Jefferson Bradley Sabatini | Orthopaedic Surgery | 927 Franklin St Se, Huntsville, AL 35801-4306 | 2011-04-04 |
| 1972832467 | Ashish Shah | Orthopaedic Surgery | 1201 11th Ave S, Suite 200, Birmingham, AL 35205-3410 | 2009-12-14 |
| 1184755621 | Norman E. Waldrop IIi | Orthopaedic Surgery | 805 Saint Vincents Dr, Suite 100, Birmingham, AL 35205-1636 | 2007-03-08 |
| 1376699561 | Francisco Jose Caycedo | Orthopaedic Surgery | 833 Saint Vincents Dr, Ste. 403, Birmingham, AL 35205-1606 | 2007-01-28 |
Please comment or provide details below to improve the information on DR. WILLIAM ISAIAH PARK IV.
| 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.