RIVER PARC INTERNAL MEDICINE (NPI# 1912366931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912366931 |
| Entity Type | Organization |
| Organization Name | RIVER PARC INTERNAL MEDICINE |
| Practice Address |
4855 River Green Pkwy Ste 140 Duluth GA 30096-8333 |
| Practice Telephone | 6784170077 |
| Practice Fax Number | 6784170337 |
| Mailing Telephone | 6784170077 |
| Mailing Fax Number | 6784170337 |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |
| Authorized Official Name | YOUNG KANG (MD) |
| Authorized Official Telephone | 6784170077 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | RN193179 | GA | Ambulatory Health Care Facilities |
| Street Address |
4855 RIVER GREEN PKWY STE 140 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-8333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811946866 | Young Won Kang | Internal Medicine | 4855 River Green Pkwy Ste 140, Duluth, GA 30096-8333 | 2006-05-08 |
| 1598266355 | Hye Sun Lee | Nurse Practitioner | 4855 River Green Pkwy Ste 140, Duluth, GA 30096-8333 | 2018-02-26 |
| 1356702849 | Amelia Joo | Nurse Practitioner | 4855 River Green Pkwy Ste 140, Duluth, GA 30096-8333 | 2016-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831710409 | Webmed LLC | Clinic/Center | 925 E Superior St Ste 113, Duluth, MN 55802-2253 | 2020-05-05 |
| 1275005498 | St. Luke's Hospital of Duluth | Clinic/Center | 1000 E 1st St Ste 204, Duluth, MN 55805-2297 | 2018-12-28 |
| 1730657271 | Vitality Ageless Center LLC | Clinic/Center | 1611 Satellite Blvd Ste 3, Duluth, GA 30097-4913 | 2018-11-02 |
| 1588147839 | Ideal Option, Pllc | Clinic/Center | 831 E 2nd St, Duluth, MN 55805-2103 | 2018-09-12 |
| 1184168205 | Brown Optical | Clinic/Center | 3751 Satellite Blvd, #200, Duluth, GA 30096-8840 | 2016-12-08 |
| 1932658051 | Vaned Health LLC | Clinic/Center | 6340 Sugarloaf Pkwy Ste 200, Duluth, GA 30097-4329 | 2016-09-30 |
| 1588960835 | Peachtree Chiropractic Center | Clinic/Center | 3294 Peachtree Industrial Blvd, Suite 2005, Duluth, GA 30096-8322 | 2011-02-03 |
| 1710280656 | New Gyn LLC | Clinic/Center | 3840 Peachtree Industrial Blvd, 275, Duluth, GA 30096-5031 | 2010-12-15 |
| 1063726743 | St. Luke's Hospital | Clinic/Center | 915 E 1st St, Duluth, MN 55805-2107 | 2010-08-05 |
| 1447427232 | Rediclinic Us, LLC | Clinic/Center | 2635 Pleasant Hill Rd, Duluth, GA 30096-1450 | 2008-05-12 |
| Find all providers in DULUTH | ||||
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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.