Park & Assoc S C

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PARK & ASSOC S C

Practice address

410 Dewey Street
Wis Rapids, WI 54494

Phone

(715) 423-9170

Fax

(715) 325-1874

NPI assigned

Jul 25, 2007

Last updated

Mar 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hi Young Hong, M.D.

Title

President

Phone

(715) 423-9170

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1336339548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544950203",
            "telephone_number": "715-423-9170",
            "fax_number": "715-325-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 DEWEY STREET",
            "city": "WIS RAPIDS",
            "state": "WI",
            "postal_code": "54494",
            "telephone_number": "715-423-9170",
            "fax_number": "715-325-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK & ASSOC S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "HI",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-423-9170",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.