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HANNA PARK MD MPH NPI 1679815898


NPI Information

NPI: 1679815898
Provider Name: HANNA PARK, MD, MPH
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Individual
Organization: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

PECOS Registration: Yes

Address:
100 MICHIGAN ST NE RM 8830
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 459-7258
Get Directions

Hanna Park, MD, MPH is a thoracic surgery cardiothoracic vascular surgery in Grand Rapids, MI with 11 years of experience. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. Hanna Park, MD, MPH NPI is 1679815898. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2013

The provider's business location address is:

100 MICHIGAN ST NE RM 8830
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 459-7258

The NPI 1679815898 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/26/2013 and was last updated on 12/5/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)A133676CALIFORNIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)4301116177MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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