KEON MIN PARK (NPI# 1902337793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902337793 |
| Entity Type | Individual |
| Full Name | KEON MIN PARK |
| Credential | M.D. |
| Practice Address |
513 Parnassus Avenue, S-321 Ucsf - Department of Surgery San Francisco CA 93132-0470 |
| Practice Telephone | 4154761239 |
| Mailing Telephone | 4154761239 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2019-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | A160755 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
513 PARNASSUS AVENUE, S-321 UCSF - DEPARTMENT OF SURGERY |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 93132-0470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053601401 | Yung Chuan Liu | Otolaryngology | 513 Parnassus Avenue, S-321, Ucsf Department of Surgery, San Francisco, CA 94143-0470 | 2011-04-19 |
| 1295267441 | Annie Do | Student in an Organized Health Care Education/Training Program | 513 Parnassus Avenue, S-321, Ucsf - Department of Surgery, San Francisco, CA 94143-0470 | 2017-03-28 |
| 1922539808 | Adam Ivan Daoud-gray | Student in an Organized Health Care Education/Training Program | 513 Parnassus Avenue, S-321, Ucsf Department of Surgery, San Francisco, CA 94143-0470 | 2017-03-23 |
| 1215391982 | Alexander Rakesh Gupta | Student in an Organized Health Care Education/Training Program | 513 Parnassus Avenue, S-321, Ucsf - Department of Surgery, San Francisco, CA 94143-0470 | 2016-04-08 |
| 1831553569 | Lauren Elizabeth Eyler | Student in an Organized Health Care Education/Training Program | 513 Parnassus Avenue, S-321, Ucsf - Department of Surgery, San Francisco, CA 94143-0470 | 2016-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164265 | Gary L Johnson | Massage Therapist | 222 Columbus Ave Ste 220, San Francisco, CA 94133-4597 | 2020-11-08 |
| 1972104628 | Ann Egan | Counselor | 207 Cole St, San Francisco, CA 94117-1915 | 2020-11-07 |
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1699376400 | Rosa Maria Narvaez | Community Health Worker | 1206 Valencia St Apt 9, San Francisco, CA 94110-3097 | 2020-11-06 |
| 1518568138 | Raime Shah | Dentist | 707 Parnassus Ave Ste D-3000, San Francisco, CA 94143-2210 | 2020-11-02 |
| 1528668167 | Amber Briana Curry | Nurse Practitioner | 1336 6th Ave, San Francisco, CA 94122-2504 | 2020-10-30 |
| 1588264360 | Jocelyn Julia Ho | Registered Nurse | 795 Burnett Ave Apt 8, San Francisco, CA 94131-1418 | 2020-10-29 |
| 1083214282 | Sara Davidson, Dds, PC | Dentist | 176 Terra Vista Ave, San Francisco, CA 94115-3824 | 2020-10-27 |
| 1023617677 | Orli Danieli | Dietitian, Registered | 240 Alma St, San Francisco, CA 94117-4224 | 2020-10-23 |
| 1457950073 | Thomas Lee Kim | Counselor | 788 8th Ave Apt 1, San Francisco, CA 94118-3790 | 2020-10-23 |
| Find all providers in SAN FRANCISCO | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008423 | Shahin Javaheri Md A Professional Corporation | Plastic Surgery | 2100 Webster St Ste 502, San Francisco, CA 94115-2381 | 2018-03-27 |
| 1326386590 | Albert W. Chow, Md, Inc. | Plastic Surgery | 1 Daniel Burnham Ct Ste 368c, San Francisco, CA 94109-0470 | 2013-01-23 |
| 1164729927 | Chia Jen Chung, Md, Inc. | Plastic Surgery | 390 Laurel St Ste 205, San Francisco, CA 94118-1953 | 2011-02-14 |
| 1225334873 | Kate Buretta Krucoff | Plastic Surgery | 45 Castro St Ste 121, San Francisco, CA 94114-1019 | 2011-01-30 |
| 1972790699 | Sirish Maddali, M.d., Inc. | Plastic Surgery | 390 Laurel Street, Suite 205, San Francisco, CA 94118-1953 | 2007-09-26 |
| 1023214343 | Dellon Institute for Peripheral Nerve Surgery Northern California | Plastic Surgery | 2345 Balboa St, San Francisco, CA 94121-2912 | 2007-06-23 |
| 1053451518 | Jordan C Deschamps-braly | Plastic Surgery | 360 Post St Ste 901, San Francisco, CA 94108-4988 | 2007-02-07 |
| 1104990316 | Rose Mary Jacinta Lewis | Plastic Surgery | 332 Warren Dr, San Francisco, CA 94131-1034 | 2006-11-20 |
| 1396824835 | Andrew Barnett | Plastic Surgery | 450 Sutter St Rm 1123, San Francisco, CA 94108-3913 | 2006-11-03 |
| 1760573794 | Te Ning Chang | Plastic Surgery | 2250 Hayes St Ste 540, San Francisco, CA 94117-1078 | 2006-09-27 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 93132 |
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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.