DR. DAVID J PARK


Address: 331 Olcott Dr, Ste U3, White River Junction, VT 05001-9601
Phone: 8022956132

DR. DAVID J PARK (NPI# 1790780211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790780211
Entity Type Individual
Full Name DR. DAVID J PARK
Credential M.D.
Practice Address 331 Olcott Dr
Ste U3
White River Junction
VT 05001-9601
Practice Telephone 8022956132
Practice Fax Number 8022951358
Mailing Telephone 8022956132
Mailing Fax Number 8022951358
Enumeration Date 2005-06-21
Last Update Date 2007-12-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 042-0010755 VT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VT 1010649 05
VT 8000079 05

Other Providers DAVID PARK

NPI Name Taxonomy Address Enumeration
1013524743 David Park Dentist 810 3rd Ave Ste 200, Seattle, WA 98104-1614 2020-09-27
1447879648 David Jaehyun Park Student in an Organized Health Care Education/Training Program 193 Oak St Apt 202e, Newton Upper Falls, MA 02464-1449 2020-04-09
1093363574 David Mansug Park Acupuncturist 5200 Newberry Rd Ste D8, Gainesville, FL 32607-2177 2019-08-28
1831614387 David Ji Hyun Park Dentist 393 Dunlap St N Ste 308, Saint Paul, MN 55104-4223 2017-08-06
1265686448 David H Park Dentist 3530 Dartmouth Ln, Rowland Heights, CA 91748-5135 2008-11-14
1578763413 David Kyung-il Park Emergency Medicine 2500 Merced Sreet, San Leandro, CA 94577-4201 2007-07-19
1942410501 David S Park Dentist 10390 Coloma Rd Ste A, Rancho Cordova, CA 95670-2152 2007-05-23
1780762245 David Hwantae Park Optometrist 7750 N Macarthur Blvd, Ste 180, Irving, TX 75063-7524 2006-11-01
1942315874 David Daegeun Park Family Medicine 119 S Fuquay Avenue, Fuquay-varina, NC 27526-2210 2006-08-20
1114558897 David Seho Park Pharmacist 25825 Vermont Ave, Harbor City, CA 90710-3518 2020-01-30

Office Location

Street Address 331 OLCOTT DR
STE U3
City WHITE RIVER JUNCTION
State VT
Zip Code 05001-9601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801891882 Mark M Nunlist Family Medicine 331 Olcott Dr, Ste U3, White River Junction, VT 05001-9601 2005-06-16
1699151266 Kellie Larochelle Physician Assistant 331 Olcott Dr, Suite U3, White River Junction, VT 05001-9601 2015-08-06
1225446230 Katherine Goyette Nurse Practitioner 331 Olcott Dr, Suite U3, White River Junction, VT 05001-9601 2014-07-23
1679739494 Vreeland Clinic Chiropractor 331 Olcott Dr, Suite U1, White River Junction, VT 05001-9601 2008-07-31
1548436876 Krista Iuzzolino Gould Nurse Practitioner 331 Olcott Dr, Suite U3, White River Junction, VT 05001-9601 2008-05-06
1477633345 Lynne Casey Chow Nurse Practitioner 331 Olcott Dr, Suite U3, White River Junction, VT 05001-9601 2006-10-16
1811961576 Jill I Blumberg Family Medicine 331 Olcott Dr, Suite U3, White River Junction, VT 05001-9601 2006-02-17
1992791172 Sean H Uiterwyk Family Medicine 331 Olcott Dr, Suite U3, White River Junction, VT 05001-9601 2005-09-23
1326043308 Michael L Lyons Family Medicine 331 Olcott Dr, Ste U3, White River Junction, VT 05001-9601 2005-06-16
1841295821 Julie S Davis Family Medicine 331 Olcott Dr, Ste U3, White River Junction, VT 05001-9601 2005-06-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265071674 Angela Norton Dietitian, Registered White River Junction Va, 163 Veterans Drive, White River Junction, VT 05001 2020-01-02
1295221687 Arielle Courtney Strickland Behavioral Analyst 91 Farmvu Dr, White River Junction, VT 05001 2018-07-09
1639544075 Maureen D Bogosian Counselor 211 North Main St, White River, VT 05001 2015-12-10
1104254515 Peter David Tenenbaum Social Worker 67 Raymond Circle, White River Junction, VT 05001 2013-10-22
1124311493 Amber J Leavitt Counselor 226 Holiday Dr Ste 21, White River Junction, VT 05001 2011-05-19
1083820963 Eileen Frances Lanza Counselor 3 Palmer Court, White River Junction, VT 05001 2007-05-15
1841337912 Carol B. Collier Counselor 5 Palmer Court, White River Junction, VT 05001 2007-01-30
1174682041 Mark G Koch Marriage & Family Therapist 1011 N. Main St. #21, White River Junction, VT 05001 2006-12-07
1518032564 White River Family Practice PC Family Medicine 331 Olcott Drive, Suite U3, White River Jct, VT 05001 2006-11-22
1396818100 Richard Sandford Zubarik Internal Medicine Smith 212-fletcher Allen Health Care, Colchester Avenue, Burlington, VT 05001 2006-11-17
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801891882 Mark M Nunlist Family Medicine 331 Olcott Dr, Ste U3, White River Junction, VT 05001-9601 2005-06-16
1902444722 Penny Ann Osgood Family Medicine 163 Veterans Drive, White River Junction, VT 05009-0001 2019-12-11
1063723153 Sarah E B Logan Family Medicine 212 Holiday Dr, Suite 4, White River Junction, VT 05001-2040 2010-06-23
1811961576 Jill I Blumberg Family Medicine 331 Olcott Dr, Suite U3, White River Junction, VT 05001-9601 2006-02-17
1255301016 Carol Lee Blackwood Family Medicine 215 N Main St, Veterans Affairs Medical Center, White River Junction, VT 05009-0001 2006-01-25
1992791172 Sean H Uiterwyk Family Medicine 331 Olcott Dr, Suite U3, White River Junction, VT 05001-9601 2005-09-23
1326043308 Michael L Lyons Family Medicine 331 Olcott Dr, Ste U3, White River Junction, VT 05001-9601 2005-06-16
1841295821 Julie S Davis Family Medicine 331 Olcott Dr, Ste U3, White River Junction, VT 05001-9601 2005-06-16
1457356339 Angela M Toms Family Medicine 331 Olcott Dr, Ste U3, White River Junction, VT 05001-9601 2005-06-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730700469 Gfm House Call Practice Family Medicine 23 Stratton, Winhall, VT 05340 2020-05-05
1447800792 Peter M Sher, Md, Plc Family Medicine 4 S Main St Ste 6, Hardwick, VT 05843-7070 2019-09-18
1992353445 Village Health, Inc. Family Medicine 5 Park St Ste 3a, Middlebury, VT 05753-1169 2019-08-28
1528620838 Five-town Health Alliance, Inc Family Medicine 56 College St, Middlebury, VT 05753-1447 2019-07-08
1134604622 Little Rivers Health Care, Inc. Family Medicine 36 Oxbow Dr, Bradford, VT 05033-9037 2018-10-01
1093179400 Justin Cherng Chuang Family Medicine Cvmc Hospitalist Department, 130 Fisher Road, 3rd Floor, Berlin, VT 05602-9000 2016-04-12
1225400237 Community Health Centers of The Rutland Region, Inc. Family Medicine 71 Allen Pond, Suite 403, Rutland, VT 05701-4570 2015-10-29
1871927806 Langdon Swain Lawrence Family Medicine 4276 Silver St, Hinesburg, VT 05461-9492 2013-08-27
1871840843 Five-town Health Alliance, Inc Family Medicine 61 Pine Street, Building 4, Bristol, VT 05443 2012-08-09
1770843575 Chloe Tartaglia Family Medicine 577 Washington Hwy, Morrisville, VT 05661 2012-05-25
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Competitor

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City WHITE RIVER JUNCTION
Zip Code 05001

Improve Information

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Dataset Information

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.

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