SARA E.Q. PARK (NPI# 1790738698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790738698 |
| Entity Type | Individual |
| Full Name | SARA E.Q. PARK |
| Credential | MD |
| Practice Address |
4000 N Central Ave Comprehensive Medical & Dental, Azdcs, Sitecode C041-22 Phoenix AZ 85012-1959 |
| Mailing Address |
Po Box 29202 Comprehensive Medical & Dental, Azdcs, Sitecode C041-22 Phoenix AZ 85038-9202 |
| Practice Telephone | 6027713638 |
| Practice Fax Number | 6023518529 |
| Mailing Telephone | 6027713638 |
| Mailing Fax Number | 6023518529 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2015-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 23844 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 339491 | 05 | |
| AZ | DEA | BP4701492 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689116550 | Sara Park | Acupuncturist | 4600 Beach Blvd, Suite M, Buena Park, CA 90621 | 2016-11-09 |
| 1821338898 | Sara Park | Pharmacist | 2352 Linwood Ave Apt 6h, Fort Lee, NJ 07024-3860 | 2013-02-27 |
| 1689873150 | Sara Soyoung Park | Pharmacist | 3767 Clarington Ave Apt 336, Los Angeles, CA 90034-5844 | 2007-07-16 |
| 1144858846 | Sara A Park | Nurse Anesthetist, Certified Registered | Emile @ 42nd St, Omaha, NE 68198-0002 | 2020-03-29 |
| 1558822908 | Sara Heejung Park | Anesthesiology | 593 Eddy St, Providence, RI 02903-4923 | 2019-03-28 |
| 1962988295 | Sara J Park | Dentist | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2018-07-19 |
| 1316455538 | Sara Park | Physician Assistant | 1825 Eastchester Rd, Bronx, NY 10461-2301 | 2018-01-22 |
| Street Address |
4000 N CENTRAL AVE COMPREHENSIVE MEDICAL & DENTAL, AZDCS, SITECODE C041-22 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-1959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790127363 | Donna Defelice | Psychiatry & Neurology | 4000 N Central Ave, Suite 1800, Phoenix, AZ 85012-1959 | 2013-07-24 |
| 1194933309 | Paul Daniel Woodbury | Dentist | 4000 N Central Ave, Suite 1401, Phoenix, AZ 85012-1959 | 2007-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370349 | Dwayne St. Jacques Md Pllc | Pediatrics | 15215 South 48th Street, Suite 110, Phoenix, AZ 85044-9375 | 2019-01-18 |
| 1245703966 | Pleasant Pediatrics Plc | Pediatrics | 15715 S 46th St Ste 102, Phoenix, AZ 85048-0439 | 2019-01-04 |
| 1033642830 | Sumeet Gill | Pediatrics | 3805 E Bell Rd Ste 5100, Phoenix, AZ 85032-2174 | 2017-04-07 |
| 1639619968 | Pediatrics Kare LLC | Pediatrics | 7611 W Thomas Rd #co64, Phoenix, AZ 85033-5469 | 2017-03-06 |
| 1508300013 | Pediatrics & Family Kare Pllc | Pediatrics | 13229 N 41st Pl, Phoenix, AZ 85032-6709 | 2016-12-19 |
| 1881058931 | Nima Sekhadia | Pediatrics | 16611 S 40th St Ste 160, Phoenix, AZ 85048-0565 | 2016-04-05 |
| 1134580970 | Pleasant Pediatrics | Pediatrics | 2613 W Campbell Ave, Phoenix, AZ 85017-3770 | 2016-03-08 |
| 1174913826 | Arizona Pediatric Pllc | Pediatrics | 22 E Mitchell Dr, Phoenix, AZ 85012-2340 | 2015-02-03 |
| 1316282288 | Robert Fredrick Beauchamp | Pediatrics | 1 E Washington St, Suite 17, Phoenix, AZ 85004-2492 | 2012-12-04 |
| 1558634212 | Vishwabandhu J. Jhaveri | Pediatrics | 8220 N 23rd Ave, Building # 1, Phoenix, AZ 85021-4872 | 2012-02-10 |
| Find all providers in PHOENIX | ||||
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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.