Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770920431 Individual Practitioner Female Practitioner

Dr. Hareem Park , MD

Pediatrics • Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Hareem Park, MD is a registered healthcare professional specializing in Pediatrics in Providence, RI. Practice services are available at 593 EDDY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

593 Eddy St

Providence, RI 029034923

Telephone 4014447396
Associated Practice Facility / Clinic
🏢 Rhode Island Hospital Facility NPI 1588659528

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.3 Yrs
State Avg: 17.6 Yrs
Regional Practice Density
165 Specialists

Practicing in Providence, RI (340 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-10-31
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License RI MD18774

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License CT 63856

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Practice Locations

282 Washington St

Hartford, CT 061063322

Phone: 8605458177

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Kristina Petrucci , PA-C

Physician Assistant

NPI 1134740681

Physician Assistant (Certified)

Anne Smith , PA-C

Physician Assistant

NPI 1164247185

Physician Assistant (Certified)

NPI 1245443845

Doctor of Medicine (M.D.)

Hadley Tate , PA-C

Physician Assistant

NPI 1255027272

Physician Assistant (Certified)

NPI 1356577001

Doctor of Medicine (M.D.)

Valerie Kiers , CPNP, RN

Nurse Practitioner

NPI 1538712997

Certified Pediatric Nurse Practitioner, Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location October 31, 2022

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014447396)

📍
Updated Business Mailing Address October 31, 2022

Registered at 117 ELLENFIELD ST STE 101, PROVIDENCE, RI 029054541 (Tel: 4014447945)

📍
Updated Practice Location November 01, 2019

Registered at 282 WASHINGTON ST, HARTFORD, CT 061063322 (Tel: 8605458177)

📍
Updated Business Mailing Address November 01, 2019

Registered at 282 WASHINGTON ST, HARTFORD, CT 061063322 (Tel: 6054581778)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2019

Pediatrics (License #63856 in CT)

NPI Profile Active June 03, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2013

Registered at 3401 CIVIC CENTER BLVD, 9NW63, PHILADELPHIA, PA 191044319 (Tel: 2155901220)

📍
Updated Business Mailing Address June 03, 2013

Registered at 3401 CIVIC CENTER BLVD, 9NW63, PHILADELPHIA, PA 191044319 (Tel: 2155901220)

👤
Provider Name / Credentials Updated June 03, 2013

Recorded as HAREEM PARK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2013

Pediatrics (License #MT203913 in PA)

🟢
Initial NPI Registration & Enumeration June 03, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770920431
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2013
Last Update: October 31, 2022
Sole Proprietor: No

Mailing Address

117 Ellenfield St Ste 101

Providence, RI 029054541

Phone: 4014447945

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.