Gregory Park MD Inc

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

MD3915 Issued in HI

Legal business name

GREGORY PARK MD INC

Practice address

30 N Church St
Wailuku, HI 96793-1600

Phone

(808) 244-7627

Fax

(808) 243-2272

NPI assigned

Nov 18, 2006

Last updated

Feb 3, 2010By 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

Dr. Gregory Park, M.D.NPI 1861497596

Title

President

Phone

(808) 244-7627

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Gregory Park, M.D.

  • Internal Medicine Physician
  • Wailuku, HI
  • NPI 1861497596
  Authorized official Same address or phone

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

{
    "created_epoch": "1163808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1699849034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SEVEN WATERFRONT PLAZA",
            "address_2": "500 ALA MOANA BLVD., SUITE 300",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-521-1317",
            "fax_number": "808-533-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N CHURCH ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931600",
            "telephone_number": "808-244-7627",
            "fax_number": "808-243-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY PARK MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-18",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-244-7627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "HI",
            "license": "MD3915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul W. Grandon, MD
• Greater Depths Therapy Inc (Greater Depths Therapy)
• Green Ti Boutique and Massage LLC
• Lillian Jean Green, RBT
• Lisa Anne Gregoire, PT, DPT
• Jaelynn Griess, PT, DPT
• Michelle Grimm
• Mikella Grobe
• Group Therapy Maui (Awareness Therapy Maui/ Group Therapy Ma)
• Lev Lawrence Grunstein, M.D.

• Medical Oncology Physician in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Medical Oncology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.