JAMIE L PARK (NPI# 1003290404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003290404 |
| Entity Type | Individual |
| Full Name | JAMIE L PARK |
| Credential | CRNP |
| Practice Address |
90 Shenango St Greenville PA 16125-2060 |
| Practice Telephone | 7245884240 |
| Mailing Telephone | 7245884240 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP015055 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073502035 | Jamie Y Park | Dentist | 8622 W Golf Rd, Niles, IL 60714-5600 | 2005-10-20 |
| 1033635180 | Jamie Lee Park | Pharmacist | 700 W Ironwood Dr, Coeur D Alene, ID 83814-2656 | 2017-08-21 |
| 1215472774 | Jamie Park | Pharmacist | 3900 W 3rd St, Los Angeles, CA 90020-2675 | 2016-12-19 |
| 1477873107 | Jamie Park | Registered Nurse | 200 Grand Ave Ste 203, Englewood, NJ 07631-4363 | 2010-06-04 |
| 1033445663 | Jamie Park | Physician Assistant | 2500 Belle Chasse Highway, Gretna, LA 70056-7127 | 2009-11-02 |
| 1194818401 | Jamie Joseph Park | Physical Therapist | 10 Crossroads Dr, Suite 208, Owings Mills, MD 21117-5458 | 2006-10-02 |
| 1578570040 | Jamie H Park | Dentist | 10680 Main St, Suite 150, Fairfax, VA 22030-3810 | 2006-08-01 |
| Street Address |
90 SHENANGO ST |
| City | GREENVILLE |
| State | PA |
| Zip Code | 16125-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669455978 | Alicia A Baker | Family Medicine | 90 Shenango St, Greenville, PA 16125-2060 | 2005-11-22 |
| 1255826061 | Brittany Gladysz | Physician Assistant | 90 Shenango St, Greenville, PA 16125-2060 | 2018-06-25 |
| 1568980332 | Tonya Lynn Telesz | Nurse Practitioner | 90 Shenango St, Greenville, PA 16125-2060 | 2017-08-31 |
| 1467904664 | Lenise Murphy-thomas | Nurse Practitioner | 90 Shenango St, Greenville, PA 16125-2060 | 2016-11-04 |
| 1437456126 | Clarissa A White | Nurse Practitioner | 90 Shenango St, Greenville, PA 16125-2060 | 2011-02-16 |
| 1902034804 | Taimur Akram | Family Medicine | 90 Shenango St, Greenville, PA 16125-2060 | 2009-06-30 |
| 1255569018 | Christina Fung-yee Wong | Family Medicine | 90 Shenango St, Greenville, PA 16125-2060 | 2009-06-30 |
| 1710121728 | Upmc Community Medicine Inc | Urology | 90 Shenango St, Greenville, PA 16125-2060 | 2009-04-22 |
| 1497926174 | Laura B Yohe | Family Medicine | 90 Shenango St, Suite 12, Greenville, PA 16125-2060 | 2008-03-20 |
| 1912033044 | Upmc Community Medicine Inc | Obstetrics & Gynecology | 90 Shenango St, Greenville, PA 16125-2060 | 2007-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356983340 | Heather Christine Groeger | Licensed Vocational Nurse | 9 Greenville Sheakleyville Rd, Greenville, PA 16125 | 2019-10-11 |
| 1710316153 | Federico Pascual Vallesteros | Anesthesiology | 223 Greenville Rd, Greenville, PA 16125 | 2013-11-06 |
| 1083944524 | Kimberly Weaver | Nurse Practitioner | 12 Sherrard Avenue, Greenville, PA 16125 | 2010-01-06 |
| 1992972749 | Jinine Elizabeth Flynn-napotnik | Chiropractor | 5 Orthopedic Center, Greenville, PA 16125 | 2008-05-12 |
| 1073631859 | Russell W Poe | Dentist | 83 Shenango St, Greenville, PA 16125 | 2007-03-27 |
| 1487791042 | Sanda Marina Constantinidi | Pediatrics | 6 Manorview Drive, Greenville, PA 16125 | 2007-01-31 |
| 1811067564 | Stuart D Anderson | Orthopaedic Surgery | Greenville Orthopedic Association, 1 Greenville Orthopedic Center, Greenville, PA 16125 | 2006-11-09 |
| 1598854291 | Susan E Calderbank | Dentist | 43 Clinton St, Greenville, PA 16125 | 2006-10-12 |
| 1437268158 | Robert Michael Woods | Dentist | 282 Main Street, Greenville, PA 16125 | 2006-08-29 |
| 1154397453 | Thomas Z Pineo | Family Medicine | 110 North Main Street, Greenville, PA 16125 | 2006-02-27 |
| Find all providers in zip 16125 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234237 | Vb Medical Group LLC | Nurse Practitioner | 10047 Whispering Wind Dr, Greenville, IN 47124-9704 | 2020-10-29 |
| 1700403276 | Carolyn Lisa Fry | Nurse Practitioner | 500 Baylor Dr Apt Suite, Greenville, TX 75402-8005 | 2020-07-01 |
| 1033744701 | Jennifer C Carpenter | Nurse Practitioner | 2018 County Road 3318, Greenville, TX 75402-5268 | 2020-03-03 |
| 1659904183 | Joante Kirk | Nurse Practitioner | 1699 S Main St, Greenville, MS 38701-7364 | 2020-02-12 |
| 1578103859 | Michelle Earley | Nurse Practitioner | 4221 Ridgecrest Rd Ste 107, Greenville, TX 75402-6015 | 2020-01-14 |
| 1871138149 | Paola Andrea Mora Tobon | Nurse Practitioner | 200 Patewood Dr Ste 320, Greenville, SC 29615-3593 | 2019-11-11 |
| 1144863895 | Rashemia Latricia Suber | Nurse Practitioner | 814 Riviera Cir N, Greenville, MS 38701-8029 | 2019-10-25 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1487116745 | Megan Rogers Semanski | Nurse Practitioner | 890 W Faris Rd Ste 510, Greenville, SC 29605-4286 | 2019-04-04 |
| 1053884247 | Renee L Bridges | Nurse Practitioner | 10 Enterprise Blvd Ste 202, Greenville, SC 29615-3554 | 2019-01-10 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 16125 |
Please comment or provide details below to improve the information on JAMIE L PARK.
| 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.