Sung Mi Park, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U01546 Issued in MD

Practice address

4747 Hallowed STRM
Ellicott City, MD 21042-7902

Phone

(443) 857-4192

NPI assigned

Mar 28, 2011

Last updated

Mar 28, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Four Leaf Wellness LLC

  • Acupuncturist
  • Clarksville, MD
  • NPI 1982271292
  NPD Authorized official
• Yin Tang Oriental Clinic

  dba Yin Tang Clinic

  • Acupuncturist
  • Ellicott City, MD
  • NPI 1356538946
  NPD (past)

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1952690125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 HALLOWED STRM",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427902",
            "telephone_number": "443-857-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 HALLOWED STRM",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427902",
            "telephone_number": "443-857-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SUNG",
        "middle_name": "MI",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chungheon Park
• Grace Park
• Jake J Park, D.C.
• Soon Sik Park
• Soongil Shannen Park, LAC
• Macqueen Parker, LCSW-C
• Parmar Primary Care Medicine LLC (Ellicott City Primary Care Medicine)
• Carole A. Parnes, M.D.
• Florence Parry, FNP
• Roopa Devang Pastakia, RPH

• Acupuncturist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.