David Mansug Park, OMD

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

4075 Issued in FL

Practice address

1514 W Main St
Leesburg, FL 34748-4857

Phone

(352) 759-8275

Fax

(352) 234-3625

NPI assigned

Aug 28, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CM Reid & Associates Inc

  • Clinical Social Worker
  • Leesburg, FL
  • NPI 1457400939
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1093363574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 W MAIN ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484857",
            "telephone_number": "352-759-8275",
            "fax_number": "352-234-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 W MAIN ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484857",
            "telephone_number": "352-759-8275",
            "fax_number": "352-234-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "DAVID",
        "middle_name": "MANSUG",
        "credential": "OMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-28",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "4075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE PHYSICIAN",
            "identifier": "1093363574",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAIN CONTROL BY ACUPUNCTURE, METABOLIC MATTER CARE BY ENZYMES",
            "identifier": "1093363574",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.oneacu.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "www.oneacu.com",
            "address_1": "1514 W Main St",
            "city": "Leesburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347484857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "oneacu.com",
            "affiliation": "N",
            "endpointDescription": "Pain control by Acupuncture, Metabolic issue care by herbal Enzymes",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "oneacu.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "oneacu.com",
            "address_1": "1514 W Main St",
            "city": "Leesburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347484857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Painfree Physical Therapy Inc
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• Brittany Papineau, RBT
• Paradigm Hospitalist Group
• Angelica Parker, COTA
• Gail L Parker, NP
• Parkway Physical Therapy Inc
• Alice Linetta Parrott, LCSW
• Suzanne Mariette Pasco

• Acupuncturist in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.