MICHELLE HAE-MIN PARK (NPI# 1851895965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851895965 |
| Entity Type | Individual |
| Full Name | MICHELLE HAE-MIN PARK |
| Credential | DO |
| Practice Address |
2000 W Bethany Home Rd Phoenix AZ 85015-2443 |
| Practice Telephone | 6022465658 |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811525785 | Michelle S Park | Marriage & Family Therapist | 3801 23rd Ave Ste 415, Astoria, NY 11105-1532 | 2020-03-27 |
| 1740694918 | Michelle E Park | Dermatology | 2 5th Ave Unit 2, New York, NY 10011-8856 | 2014-06-16 |
| 1114579083 | Michelle Park | Counselor | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2019-07-11 |
| 1558925743 | Michelle Jungae Park | Nurse Practitioner | 4995 Lanier Islands Pkwy, Buford, GA 30518-1741 | 2019-04-24 |
| 1811428667 | Michelle Park | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, City Tower, Ste 400, Orange, CA 92868-3201 | 2017-03-23 |
| 1265976872 | Michelle Ju Hyun Park | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2016-12-15 |
| 1639613045 | Michelle Hansol Park | Pharmacist | 2690 Pacific Coast Hwy, Torrance, CA 90505-7038 | 2016-12-05 |
| 1366819708 | Michelle Anna Park | Pharmacist | 12254 Bellflower Blvd, Downey, CA 90242-2804 | 2015-09-01 |
| 1346616745 | Michelle Myoungwoo Park | Registered Nurse | 3075 Adeline St Ste 280, Berkeley, CA 94703-2580 | 2015-08-19 |
| 1528336039 | Michelle Park | Pharmacist | 22930 S Western Ave, Torrance, CA 90501-5112 | 2011-12-12 |
| Street Address |
2000 W BETHANY HOME RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-2443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063413524 | Ahmed K Agha | Pharmacist | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2005-08-09 |
| 1649897091 | Carolyne N Simiyu Karuku | Registered Nurse | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2020-07-01 |
| 1619592490 | Kyndall Elizabeth Cline | Nurse Practitioner | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2020-06-08 |
| 1629607924 | Elizabeth Ann Gaddi Nguyen | Student in an Organized Health Care Education/Training Program | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2020-04-07 |
| 1104455989 | Ashley Marie Desmarais | Student in an Organized Health Care Education/Training Program | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2020-04-03 |
| 1710514963 | Ann Therese Peer | Student in an Organized Health Care Education/Training Program | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2020-03-26 |
| 1427685973 | Asta Brianna Jakobsson | Student in an Organized Health Care Education/Training Program | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2020-03-25 |
| 1588291298 | Sandra Shi | Student in an Organized Health Care Education/Training Program | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2020-03-24 |
| 1881221471 | Louis Justin Needleman | Student in an Organized Health Care Education/Training Program | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2020-03-24 |
| 1659914018 | Interventional Neurology of Az LLC | Psychiatry & Neurology | 2000 W Bethany Home Rd, Phoenix, AZ 85015-2443 | 2019-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615814 | Ethan Robert Curtis | Student in an Organized Health Care Education/Training Program | 9467 Dinglehole Rd, Phoenix, NY 13135-9504 | 2020-09-25 |
| 1508470642 | Aisha J Ramirez-maya | Student in an Organized Health Care Education/Training Program | 5230 S 40th Pl, Phoenix, AZ 85040-3909 | 2020-09-05 |
| 1003429846 | Krista Lyn Beerling | Student in an Organized Health Care Education/Training Program | 5827 E Indian School Rd, Phoenix, AZ 85018-6104 | 2020-08-30 |
| 1568075877 | Melissa Coronado | Student in an Organized Health Care Education/Training Program | 1906 W Latona Ln, Phoenix, AZ 85041-7703 | 2020-08-26 |
| 1801409248 | Javier Bruno Limon | Student in an Organized Health Care Education/Training Program | 4233 N 77th Dr, Phoenix, AZ 85033-2401 | 2020-08-25 |
| 1841803277 | Tiffany Figueroa | Student in an Organized Health Care Education/Training Program | 3416 N 44th St Unit 24, Phoenix, AZ 85018-6044 | 2020-08-25 |
| 1669085353 | Lea Yusupov | Student in an Organized Health Care Education/Training Program | 325 W Anderson Ave, Phoenix, AZ 85023-6545 | 2020-08-24 |
| 1528671179 | Olivia Rose Warner | Student in an Organized Health Care Education/Training Program | 2308 E Heatherbrae Dr, Phoenix, AZ 85016-6216 | 2020-08-24 |
| 1689285470 | Mati Aamed | Student in an Organized Health Care Education/Training Program | 5350 N 20th St, Phoenix, AZ 85016-3321 | 2020-08-13 |
| 1124638689 | Emily Anne Nelson | Student in an Organized Health Care Education/Training Program | 22829 N 39th Run, Phoenix, AZ 85050-5417 | 2020-08-08 |
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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.