Organization Active NPI

S Park-Davis Healthcare

Doing business as Comprehensive Integrated Health Care

  • Internal Medicine Physician
  • Novi, MI
National Provider Identifier
1649631813
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
S PARK-DAVIS HEALTHCARE
Doing business as
Comprehensive Integrated Health Care
Practice address
30880 Beck Rd
Novi, MI 48377-1000
Phone
(248) 926-0009
Fax
(248) 926-8972
NPI assigned
Mar 15, 2016
Last updated
Dec 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Dr. Sungnan Park-Davis, M.D.NPI 1932291432
Title
President
Phone
(248) 229-0640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

30880 Beck Rd
Novi, MI 48377-1000

Mailing address

30880 Beck Rd
Novi, MI 48377-1000
Phone (248) 926-0009

Other names 1

  • Comprehensive Integrated Health Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160609001705 MI Part B Supplier - Clinic/Group Practice 6204126857 Receives reassigned benefits from 3 practitioners
Practice locations: Novi, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0965876S Park Davis Healthcare30880 Beck Road, Novi, MI 48377Provider-performed microscopySep 29, 2027

National Provider Directory

National Provider Directory

Locations

30880 Beck Rd
Novi, MI 48377
Phone (248) 926-0009

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13300/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1649631813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30880 BECK RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771000",
            "telephone_number": "248-926-0009",
            "fax_number": "248-926-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30880 BECK RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771000",
            "telephone_number": "248-926-0009",
            "fax_number": "248-926-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S PARK-DAVIS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "PARK-DAVIS",
        "authorized_official_first_name": "SUNGNAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-229-0640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Integrated Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comprehensive Integrated Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.