Park Prosthetics and Orthotics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

101103 Issued in TX

Legal business name

PARK PROSTHETICS AND ORTHOTICS, INC.

Practice address

2222 Morgan Ave
Suite 110
Corpus Christi, TX 78405-1948

Phone

(361) 888-5347

Fax

(361) 888-5345

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael David Park, C.P, L.P.

Title

President

Phone

(361) 888-5347

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154371375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 MORGAN AVE",
            "address_2": "SUITE 110",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051948",
            "telephone_number": "361-888-5347",
            "fax_number": "361-888-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 MORGAN AVE",
            "address_2": "SUITE 110",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051948",
            "telephone_number": "361-888-5347",
            "fax_number": "361-888-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PROSTHETICS AND ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-888-5347",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P, L.P."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "101103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL DEVICE MANUFACTUR",
            "identifier": "0039519",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF O&P LIC.",
            "identifier": "101103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paradigm Wellness
• Paradigm Wellness Integrative Care PLLC
• Krishnakumar Parameswran, APRN-PMHNP
• Sandra Denise Pardo, MSN, APRN, PNP-PC
• Alyson Marie Paris-Ortiz, FNP
• Ashley Park, RBT-22-246789
• Myung Park, MD
• Parkdale Emergency Physicians, PLLC
• Cody Parker, MS, LPC
• Sarah Parkin

• Prosthetic/Orthotic Supplier in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.