1. Home
  2. Directory
  3. Texas
  4. Tyler
  5. Internal Medicine
  6. NPI Profile

DR. DANA MICHAEL PARK M.D.
NPI 1215036165
Internal Medicine in Tyler, TX

Active since September 21, 2006
1910 ROSELAND BLVD, TYLER, TX 75701(903) 533-0644(903) 533-0441 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dana Michael Park M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DANA MICHAEL PARK M.D. (NPI 1215036165) is an individual internal medicine provider in Tyler, Texas, licensed in Texas (E2776) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1215036165
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DANA MICHAEL PARKCredential: M.D.
Location Address1910 ROSELAND BLVDTyler, TX 75701-4246
Mailing Address1910 Roseland BlvdTyler, TX 75701-4246 · (903) 533-0644 · Fax (903) 533-0441
Phone(903) 533-0644
Fax(903) 533-0441
Sole ProprietorNo
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJanuary 20, 2015
✔ NPI 1215036165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · E2776
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1910 ROSELAND BLVD, Tyler, TX 75701
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINC20187
Medicare PIN8549K3TX
Other88730YTX · Bcbs

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY S PILETTE FNP
Nurse Practitioner (Family)
1910 ROSELAND BLVD
TYLER, TX 75701
Smith County (903) 533-0644
WILLIAM CHRISTOPHER WILLIAMS PA-C
Physician Assistant
1910 ROSELAND BLVD
TYLER, TX 75701
Smith County (903) 533-0644
CAROLYN JOHNSON MSN, APRN, FNP-C
Nurse Practitioner (Family)
1910 ROSELAND BLVD
TYLER, TX 75701
Smith County (903) 533-0644
MR. BLAISE DAVIS FNP-C, FNP-BC
Nurse Practitioner (Family)
1910 ROSELAND BLVD
TYLER, TX 75701
Smith County (432) 599-0232
RAMIRO VILLENA MD
Internal Medicine
1910 ROSELAND BLVD
TYLER, TX 75701
Smith County (903) 533-0644
C. RENEE BRANCH D.O.
Family Medicine
1910 ROSELAND BLVD
TYLER, TX 75701
Smith County (903) 533-0644
AMY KATHERINE SIMPSON M.D.
Internal Medicine
1910 ROSELAND BLVD
TYLER, TX 75701
Smith County (903) 533-0644
MR. KELLY B COX NP
Nurse Practitioner
1910 ROSELAND BLVD
TYLER, TX 75701
Smith County (902) 533-0644

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dana Park's NPI number?

The NPI number for Dana Park is 1215036165. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Dana Park located?

Dana Park practices at 1910 Roseland Blvd, Tyler, TX 75701. The listed phone number is (903) 533-0644.

What is Dana Park's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Dana Park was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.