JASON ANDREW PARK
Student in an Organized Health Care Education/Training Program

Address: 72 E Concord St Bldg C515, Boston, MA 02118-2642

JASON ANDREW PARK (NPI# 1053999250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053999250
Entity Type Individual
Full Name JASON ANDREW PARK
Gender Male
Practice Address 72 E Concord St Bldg C515
Boston
MA 02118-2642
Practice Telephone 6176388442
Mailing Address 72 E Concord St Bldg C515
Boston
MA 02118-2642
Certification Date 2021-03-30
Enumeration Date 2021-03-30
Last Update Date 2021-03-30
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 72 E CONCORD ST BLDG C515
City BOSTON
State MA
Zip Code 02118-2642

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912585365 Andrew Scott Kimber Student in an Organized Health Care Education/Training Program 72 E Concord St Bldg C515, Boston, MA 02118-2642 2021-03-29
1558948661 Stephen Neil Dalton-Petillo Student in an Organized Health Care Education/Training Program 72 E Concord St Bldg C515, Boston, MA 02118-2642 2021-03-25
1477139848 Ashlee Nichole Seldomridge Student in an Organized Health Care Education/Training Program 72 E Concord St Bldg C515, Boston, MA 02118-2642 2021-03-24
1841876810 Julia Danford Student in an Organized Health Care Education/Training Program 72 E Concord St Bldg C515, Boston, MA 02118-2642 2021-03-22
1326675505 Louis Patrick Kester Surgery 72 E Concord St Bldg C515, Boston, MA 02118-2642 2020-03-26
1699302026 Andrea Graziella Alonso Student in an Organized Health Care Education/Training Program 72 E Concord St Bldg C515, Boston, MA 02118-2642 2020-03-25
1083241798 Maia Regina Nofal Surgery 72 E Concord St Bldg C515, Boston, MA 02118-2642 2020-03-24
1285261115 Fangyu Chen Surgery 72 E Concord St Bldg C515, Surgical Education Office, Boston, MA 02118-2642 2020-03-23
1750918504 Liz Zhe Lin Surgery 72 E Concord St Bldg C515, Boston, MA 02118-2642 2020-03-23
1629465752 Michael Taylor Surgery 72 E Concord St Bldg C515, Boston, MA 02118-2642 2015-04-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295312874 Zaroug Jaleel Student in an Organized Health Care Education/Training Program 72 E Concord St # L-124, Boston, MA 02118-2642 2021-03-28
1003444696 Joseph Park Student in an Organized Health Care Education/Training Program 72 E Concord St, Boston, MA 02118-2642 2020-03-30
1821625534 Keerthivasan Vengatesan Student in an Organized Health Care Education/Training Program 72 E Concord St # C500, Boston, MA 02118-2642 2020-03-24
1225664113 Abigail Cohen Student in an Organized Health Care Education/Training Program 72 E Concord St # E124, Boston, MA 02118-2642 2020-03-23
1144761438 Shravya Budidi Family Medicine 72 E Concord St # 2600, Boston, MA 02118-2642 2017-03-20
1336468123 Anica Law Internal Medicine 72 E Concord St # R304, Boston, MA 02118-2642 2010-05-19
1336720986 Max Goder-Reiser Student in an Organized Health Care Education/Training Program 72 E Concord St, Boston, MA 02118-2642 2021-04-15
1801472212 Arun Eyo Job Student in an Organized Health Care Education/Training Program 72 E Concord St, Boston, MA 02118-2642 2021-03-24
1073129268 Hadeel Alhassani Student in an Organized Health Care Education/Training Program 72 E Concord St, Boston, MA 02118-2642 2020-09-22
1740817493 Olivia Arden Sacks Student in an Organized Health Care Education/Training Program 72 E Concord St, Boston, MA 02118-2642 2020-03-24
Find all providers in zip 02118-2642

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1669052494 Gina Lee Student in an Organized Health Care Education/Training Program 72 E Concort St, Robinson Building 4th Floor Room 4700, Boston, MA 02118 2021-04-14
1043899974 Kristen Nicole Lange Student in an Organized Health Care Education/Training Program 635 Albany Street, Boston, MA 02118 2021-04-07
1942888755 Sayari Patel Student in an Organized Health Care Education/Training Program 72 East Concord Street Evans 124, Boston, MA 02118 2021-04-01
1992396477 Lisa R Lee Counselor Bay Cove Ucc, 85 E Newton Street, Boston, MA 02118 2021-01-28
1649870023 Carlos E Salazar Counselor - Addiction (Substance Use Disorder) Hcrc 23 Bradston St., Boston, MA 02118 2020-10-27
1467051581 Mihoko Maru Social Worker - Clinical 771 Albany Street, Dowling Building, 8th Floor, Boston, MA 02118 2020-10-20
1164038212 Joya Kamel Hadchiti Radiology - Neuroradiology One Boston Medical Center Pl, Boston, MA 02118 2020-09-23
1780292607 Jinal Gandhi Student in an Organized Health Care Education/Training Program Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 2020-07-16
1669094777 German Eduardo Velez Student in an Organized Health Care Education/Training Program One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 2020-05-12
1255969895 Isabela Medeiros Heringer Pereira Student in an Organized Health Care Education/Training Program 670 Albany Stree, 4th Floor, Boston, MA 02118 2020-03-30
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154902757 Muhammad Ibrahim Akbar · Abraham Akbar Student in an Organized Health Care Education/Training Program 55 Fruit St # 2622, Boston, MA 02114-2621 2021-04-16
1417538117 Kennedy Zaccheo Student in an Organized Health Care Education/Training Program 265 Clarendon St Apt 4, Boston, MA 02116-2012 2021-04-15
1871173625 Furkan Yigitbilek Student in an Organized Health Care Education/Training Program 800 Washington St # 115, Boston, MA 02111-1552 2021-04-14
1669052494 Gina Lee Student in an Organized Health Care Education/Training Program 72 E Concort St, Robinson Building 4th Floor Room 4700, Boston, MA 02118 2021-04-14
1699355461 Ajisa Liti Student in an Organized Health Care Education/Training Program 1340 Boylston St Fl 6, Boston, MA 02215-4302 2021-04-14
1457931412 Emily Farrell Student in an Organized Health Care Education/Training Program 3 Judge St, Boston, MA 02120-3359 2021-04-13
1013597616 Olivia Karcis Student in an Organized Health Care Education/Training Program 330 Brookline Ave Ste 306, Boston, MA 02215-5400 2021-04-09
1811577414 David Anthony Klodowski Student in an Organized Health Care Education/Training Program 1 Deaconess Rd Bldg Suite306, Boston, MA 02215-5321 2021-04-09
1184203093 Anna-Kay Kerry Thompson Student in an Organized Health Care Education/Training Program 732 Harrison Ave Fl 5, Boston, MA 02118-2365 2021-04-07
1043899974 Kristen Nicole Lange Student in an Organized Health Care Education/Training Program 635 Albany Street, Boston, MA 02118 2021-04-07
Find all providers in BOSTON

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City BOSTON
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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