Aaron Park

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4482-154 Issued in WI

Practice address

3540 S. 43Rd St.
Milwaukee, WI 53220

Phone

(414) 328-2128

NPI assigned

Sep 4, 2017

Last updated

Sep 4, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1504483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504483200000",
    "number": "1609394220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 S. 43RD ST.",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532201502",
            "telephone_number": "541-301-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 S. 43RD ST.",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53220",
            "telephone_number": "414-328-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "AARON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-04",
        "last_updated": "2017-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "4482-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Parish, OT
• Latasha Kiana Parish, APNP
• Matthew Joseph Parisi, PA
• Michelle Gloria Parisot, M.A.
• Park West Social & Psychotherapy Services,Inc
• Abigail Lee Park, DPT
• Amanda Lee Park, MS, RD
• Edward Kioh Park
• John Park, PHARMD
• Maria A Park, P.A.

• Speech-Language Pathologist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2017; 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.