IN SOOK PARK (NPI# 1881683571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881683571 |
| Entity Type | Individual |
| Full Name | IN SOOK PARK |
| Credential | M.D. |
| Practice Address |
350 Montevue Ln Frederick MD 21702-8214 |
| Practice Telephone | 3016941029 |
| Practice Fax Number | 3016315111 |
| Mailing Telephone | 3016941029 |
| Mailing Fax Number | 3016315111 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
D0042130 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306008685 | In H Park | Acupuncturist | 421 N Brookhurst St Ste 218, Anaheim, CA 92801-5619 | 2008-06-27 |
| 1770534042 | In Young Park | Internal Medicine | 2951 W Front Street, Clinch Valley Medical Plaza Suite 1600, Richlands, VA 24641 | 2006-05-12 |
| Street Address |
350 MONTEVUE LN |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-8214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083603914 | Frederick County Health Department | Public Health or Welfare | 350 Montevue Ln, Frederick, MD 21702-8214 | 2005-10-13 |
| 1821636556 | Melissa Rios | Occupational Therapist | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-12-12 |
| 1144872375 | Frederick County Health Department | Case Management | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-07-09 |
| 1053963280 | Frederick County Health Department | Public Health or Welfare | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-07-09 |
| 1508324914 | Hanna Lee | Social Worker | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-03-05 |
| 1104390962 | Stacy Benner | Physical Therapist | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-01-15 |
| 1487127247 | Crystal Marie Ciccarelli | Occupational Therapist | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-01-04 |
| 1982177994 | Mary Michele Obenland | Occupational Therapist | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-01-03 |
| 1184196198 | Catherine Evich Johnson | Occupational Therapist | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-01-02 |
| 1427520436 | Karen Cocklin Tushek | Occupational Therapist | 350 Montevue Ln, Frederick, MD 21702-8214 | 2019-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992948277 | Grace Thammasuvimol | Psychiatry & Neurology | 170 Thomas Johnson Dr Ste 200, Frederick, MD 21702-6200 | 2009-04-15 |
| 1639242522 | Lesly Heather Baugh | Psychiatry & Neurology | 1003 W 7th St Ste 500, Frederick, MD 21701-8512 | 2006-11-16 |
| 1407297567 | Vikas Kumar Sinha | Psychiatry & Neurology | 604 Solarex Ct Unit 201, Frederick, MD 21703-8655 | 2013-07-17 |
| 1114364817 | Advanced Behavioral Health, Inc | Psychiatry & Neurology | 1003 W 7th St Ste 500, Frederick, MD 21701-8512 | 2013-06-04 |
| 1861703902 | Fauzia Nisar Syed | Psychiatry & Neurology | 604 Solarex Ct, Suite 201, Frederick, MD 21703-7005 | 2010-06-23 |
| 1396818803 | Sabah Mehdi Hadi | Psychiatry & Neurology | 604 Solarex Ct, Suite 201, Frederick, MD 21703-7005 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302442 | Advanced Behavioral Health, Inc. | Psychiatry & Neurology | 532 Baltimore Blvd Ste 403, Westminster, MD 21157-6146 | 2020-10-07 |
| 1275161960 | Zion Wellness Center | Psychiatry & Neurology | 2324 West Zion Road Unit 110, Salisbury, MD 21801 | 2020-03-30 |
| 1043798663 | Miguel J Macaoay Md, Pa | Psychiatry & Neurology | 511 Jermor Ln Ste 105, Westminster, MD 21157-6152 | 2018-08-06 |
| 1619498383 | Island Care Mental Health | Psychiatry & Neurology | 11022 Nicholas Lane, Unit 2 Suite1 Village Square Center, Berlin, MD 21811-1663 | 2017-07-03 |
| 1932592441 | New Providence Healthcare Associates Inc. | Psychiatry & Neurology | 145 Fleet St Ste 136, C/o New Providence Healthcare Associates Inc., Oxon Hill, MD 20745-1548 | 2015-03-07 |
| 1578979951 | Sa Eun Park | Psychiatry & Neurology | 1800 Orleans St Fl Center12, Baltimore, MD 21287-0010 | 2014-07-07 |
| 1295149920 | Munjerina Ahmd Munmun | Psychiatry & Neurology | 41900 Fenwick St Ste 1, Leonardtown, MD 20650-3815 | 2014-06-20 |
| 1275978165 | Advanced Behavioral Health, Inc. | Psychiatry & Neurology | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2013-05-06 |
| 1548502362 | Dina Marie Sztein | Psychiatry & Neurology | 9841 Broken Land Pkwy Ste 211, Columbia, MD 21046 | 2013-03-19 |
| 1902171374 | Coleen Marie Schrepfer | Psychiatry & Neurology | 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209 | 2012-03-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on IN SOOK PARK.
| 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.