DR. KAREN MARY PARK (NPI# 1851499099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851499099 |
| Entity Type | Individual |
| Full Name | DR. KAREN MARY PARK |
| Credential | M.D. |
| Practice Address |
5325 Elliott Drive Suite 100 St. Joseph Mercy Pain Institute Ypsilanti MI 48105-1566 |
| Mailing Address |
5325 Elliott Drive Suite 100 St. Joseph Mercy Pain Institute Ann Arbor MI 48105-1566 |
| Practice Telephone | 7347125898 |
| Practice Fax Number | 7347125084 |
| Mailing Telephone | 7347125898 |
| Mailing Fax Number | 7347125084 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2013-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
4301079007 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CARE CHOICE INDIVIDUAL NO | 138112 | 01 |
| MI | UNITED HEALTHCARE NO | 1243118 | 01 |
| MI | BCBS OF MI PIN | 0813610 | 01 |
| MI | AETNA INDIVIDUAL NO | 5412048 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407168693 | Karen Hyechin Park | Pharmacist | 4001 Preston Ave Ste 120, Pasadena, TX 77505-2051 | 2010-07-05 |
| 1467560151 | Karen Marie Park | Pharmacist | Castle Point Campus (route 9d), Pharmacy (119), Va Hudson Valley Health Care System, Wappingers Falls, NY 12590 | 2006-08-25 |
| 1861870339 | Karen Karam Park | Student in an Organized Health Care Education/Training Program | 11741 Telegraph Rd Ste A, Santa Fe Springs, CA 90670-6829 | 2015-05-15 |
| 1801188800 | Karen Lynn Park | Occupational Therapist | 4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062 | 2011-05-09 |
| 1407038433 | Karen Park | Pharmacist | 336 N Broadway, Jericho, NY 11753-2031 | 2007-11-30 |
| 1902864127 | Karen Park | Dentist | 125 Medical Cir, West Columbia, SC 29169-3655 | 2006-05-04 |
| Street Address |
5325 ELLIOTT DRIVE SUITE 100 ST. JOSEPH MERCY PAIN INSTITUTE |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48105-1566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881663367 | Bradley L Hubbard | Specialist | 5325 Elliott Drive, Ypsilanti, MI 48197 | 2006-03-16 |
| 1740505429 | Melissa Sue Halaby | Nurse Practitioner | 5325 Elliott Drive, Michigan Heart, Ypsilanti, MI 48197 | 2010-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811057490 | Michigan Pain Specialists, Pllc | Pain Medicine | 135 S. Prospect St, Ypsilanti, MI 48198 | 2006-12-12 |
| 1952409344 | Edward Peter Washabaugh IIi | Pain Medicine | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2006-09-20 |
| 1083710107 | John William Chatas | Pain Medicine | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2006-09-16 |
| 1619073707 | Louis David Bojrab | Pain Medicine | 135 S Prospect St, Ypsilanti, MI 48198-7914 | 2006-09-15 |
| 1942267661 | Timothy Wright | Pain Medicine | 5301 E Huron River Dr, Ypsilanti, MI 48197 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903294 | Comprehensive Pain Specialists, Pllc | Pain Medicine | 4302 Bay City Rd, Midland, MI 48642-6014 | 2019-10-15 |
| 1437715232 | Comprehensive Pain Specialists, Pllc | Pain Medicine | 705 E Frank St, Caro, MI 48723 | 2019-05-16 |
| 1083175913 | Bella Treatment Center PC | Pain Medicine | 28763 Northwestern Hwy Ste 100, Southfield, MI 48034-1842 | 2019-03-25 |
| 1245795848 | Advanced Pain Management Specialists, LLC | Pain Medicine | 46325 W 12 Mile Rd Ste 335, Novi, MI 48377-2464 | 2019-02-07 |
| 1356738686 | Genesee Pain Associates PC | Pain Medicine | 4468 Oakbridge Dr, Flint, MI 48532-5422 | 2015-04-24 |
| 1457745150 | Strategy Anesthesia Michigan Pllc | Pain Medicine | 13460 Fort St, Southgate, MI 48195-1138 | 2015-03-20 |
| 1407115884 | Michiana Spine, Sports & Occupational Rehab, PC | Pain Medicine | 2500 Niles Rd Ste 3, Saint Joseph, MI 49085-3225 | 2012-05-07 |
| 1386902013 | Michiana Spine, Sports & Occupational Rehab, PC | Pain Medicine | 24 N Saint Joseph Ave Ste B, Niles, MI 49120-2263 | 2012-05-01 |
| 1225302821 | Pain Clinic Management Group, Pllc | Pain Medicine | 35634 Dequindre Rd, Sterling Heights, MI 48310-4288 | 2012-02-28 |
| 1740567163 | Northville Pain Specialists Plc | Pain Medicine | 215 E. Main Street, Suite 201, Northville, MI 48167-1686 | 2011-11-14 |
| Find all providers with the same taxonomy | ||||
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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.