CHARLES PARK (NPI# 1972704096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972704096 |
| Entity Type | Individual |
| Full Name | CHARLES PARK |
| Credential | MD |
| Practice Address |
234 Goodman St Cincinnati OH 45219-2364 |
| Mailing Address |
Po Box 636256 Central Credentialing Cincinnati OH 45263-6256 |
| Practice Telephone | 5134758787 |
| Practice Fax Number | 5135583136 |
| Mailing Telephone | 5135855506 |
| Mailing Fax Number | 5135855511 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2018-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 35.126455 | OH | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 249748 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0151480 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891865499 | Charles C Park | Dentist | 1518 E Lincoln Ave, Orange, CA 92865-1928 | 2006-11-09 |
| 1639140023 | Charles Hee Yong Park | Dentist | 4290 Chain Bridge Rd Ste 202, Fairfax, VA 22030-8158 | 2006-02-01 |
| 1235214131 | Charles Keyu Park | Psychiatry & Neurology | 8158 E 5th Ave, Suite 200, Denver, CO 80230-6444 | 2006-10-26 |
| 1629179411 | Charles W. Park | Counselor | 405 Northfield Ave, Suite 204, West Orange, NJ 07052-3026 | 2006-09-26 |
| 1669408571 | Charles Park | Anesthesiology | 7300 Medical Center Dr, West Hills, CA 91307-1902 | 2006-06-23 |
| 1861438517 | Charles C Park | Neurological Surgery | 301 St. Paul Place, Pob # 310, Baltimore, MD 21202 | 2006-06-21 |
| 1215928072 | Charles Park | Physician Assistant | 150 Sargent Dr, Suite 1, New Haven, CT 06511-6100 | 2005-11-02 |
| Street Address |
234 GOODMAN ST |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45219-2364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891798187 | Jody Brennan | Advanced Practice Midwife | 234 Goodman St, Cincinnati, OH 45219-2364 | 2005-05-31 |
| 1639770035 | Maria Hilton | Registered Nurse | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-11-03 |
| 1508467192 | Haley Lippmeier | Registered Nurse | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-11-02 |
| 1831799543 | Madison Erin Hubbard | Registered Nurse | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-10-30 |
| 1780283739 | David S Lin | Nurse Anesthetist, Certified Registered | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-10-21 |
| 1417564675 | Sarah Henkes | Social Worker | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-09-30 |
| 1245846229 | Isabel Lynn Renner | Social Worker | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-09-16 |
| 1720606650 | Maura Di Nicola | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-07-07 |
| 1215553912 | Brendan R Wilson | Physician Assistant | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-06-19 |
| 1902427412 | Fabiane Retzner | Nurse Practitioner | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1316574346 | Quincy Alvin Banks | Student in an Organized Health Care Education/Training Program | Tch Family Medicine, 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 | 2020-03-27 |
| 1831725324 | Sara Jane Elisabeth Hubbard | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0803, Ucmc Dental Center, Cincinnati, OH 45219 | 2020-03-17 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1851955769 | Julie Grace Van Baardwijk | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2019-04-25 |
| 1164982773 | Zein Mouaffaq Saad Eddin | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 | 2019-03-20 |
| 1386103273 | Ismaeel Siddiqi | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 | 2019-03-19 |
| 1285123612 | Anna Vaughan | Counselor | 2828 Vernon Place, Cincinnati, OH 45219 | 2018-05-01 |
| 1043707565 | Chizara Nwade | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2018-04-19 |
| 1922503226 | Kristen Sparagna | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Ml 665x, Cincinnati, OH 45219 | 2018-03-28 |
| Find all providers in zip 45219 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275093122 | Michael Curran | Surgery | 3140 Legacy Trce, Cincinnati, OH 45237-1724 | 2019-03-25 |
| 1609216613 | Eusebio Tiu Gaw | Surgery | 3515 Banning Rd., Cincinnati, OH 45239 | 2013-07-05 |
| 1083954481 | Nicole Melchior | Surgery | 601 Ivy Gtwy Ste 2300, Cincinnati, OH 45245 | 2013-02-21 |
| 1881958098 | Tyler David Cohn | Surgery | 10475 Reading Rd Ste 117, Cincinnati, OH 45241-2500 | 2012-07-02 |
| 1457617144 | Sean D Johnson | Surgery | 4030 Smith Rd Ste 300, Cincinnati, OH 45209-1974 | 2012-04-06 |
| 1164704425 | Elizabeth G Hartman Kuo | Surgery | 4850 Red Bank Rd Fl 3, Cincinnati, OH 45227-1545 | 2011-09-13 |
| 1508156340 | Stephen Joffe | Surgery | 4400 Drake Rd, Cincinnati, OH 45243-4114 | 2011-04-13 |
| 1568761443 | Kara Haas | Surgery | 9875 Forestglen Dr, Cincinnati, OH 45242-5936 | 2011-03-18 |
| 1841594496 | Brian A Kuhn | Surgery | 10506 Montgomery Rd #302, Cincinnati, OH 45242 | 2010-12-22 |
| 1407052723 | Kathryn Lynne O'keefe | Surgery | 10496 Montgomery Rd # 302, Cincinnati, OH 45242-5223 | 2007-06-23 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45219 |
Please comment or provide details below to improve the information on CHARLES 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.