River City Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RIVER CITY INTERNAL MEDICINE

Practice address

11212 State Highway 151 Ste 120
San Antonio, TX 78251-4498

Phone

(623) 707-6730

NPI assigned

Sep 9, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Won Hee Park, DONPI 1932337896

Title

Physician

Phone

(623) 707-6730

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Won Hee Park, D.O.

  • Internal Medicine Physician
  • Converse, TX
  • NPI 1932337896
  Medicare reassignment Care Compare group NPD Authorized official
• Kristine Park, APRN

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1497355135
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1386470250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 BELLA MIST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562118",
            "telephone_number": "623-707-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 STATE HIGHWAY 151 STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514498",
            "telephone_number": "623-707-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "WON",
        "authorized_official_middle_name": "HEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "623-707-6730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River City Eye Associates PLLC
• River City Eyecare
• River City Home Health, LLC
• River City Hospice of Texas, LLC
• River City Imaging Associates PA
• River City Medical Clinic PA
• River City Neurology PA
• River City Nurse Management LLC
• River City Observation Services PLLC
• River City Oral and Maxillofacial Surgery, PLLC

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.