DR. SAMUEL PARK III (NPI# 1295187136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295187136 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL PARK III |
| Credential | M.D. |
| Practice Address |
1240 Mckee Rd Dover DE 19904-1381 |
| Mailing Address |
401 N Michigan Ave Ste 1200 Chicago IL 60611-4264 |
| Practice Telephone | 3026725800 |
| Mailing Telephone | 3126350973 |
| Mailing Fax Number | 3126350050 |
| Enumeration Date | 2016-07-03 |
| Last Update Date | 2020-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | C1-0023852 | DE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922363183 | Samuel Park | Preventive Medicine | 2448 Historic Decatur Rd Ste 130, San Diego, CA 92106-6127 | 2012-07-12 |
| 1053607952 | Samuel Joon Park | Internal Medicine | 160 1st St Unit 551, Mineola, NY 11501-5025 | 2011-06-20 |
| 1851504377 | Samuel Sanghong Park | Orthopaedic Surgery | 12 Salt Creek Ln Ste 350, Hinsdale, IL 60521-8612 | 2007-05-08 |
| 1023174752 | Samuel Ryan Park | Anesthesiology | 22 Odyssey Ste 155, Irvine, CA 92618-3194 | 2006-12-28 |
| 1497832661 | Samuel K. Park | Family Medicine | 20072 Sw Birch St Ste 100, Newport Beach, CA 92660-0794 | 2006-11-01 |
| 1740285907 | Samuel Mo Park | Physical Medicine & Rehabilitation | 340 W East Ave, Chico, CA 95926-7238 | 2005-06-15 |
| 1124551239 | Samuel Park | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Bb-1469, Seattle, WA 98195-0001 | 2017-04-05 |
| 1154853836 | Samuel Park | Physical Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2017-03-31 |
| 1790237899 | Samuel Park | Student in an Organized Health Care Education/Training Program | 3580 Wilshire Blvd Fl 8, Los Angeles, CA 90010-2505 | 2016-10-25 |
| 1205222510 | Samuel Park | Psychologist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2015-04-13 |
| Street Address |
1240 MCKEE RD |
| City | DOVER |
| State | DE |
| Zip Code | 19904-1381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386054484 | Kirill Alekseyev | Physical Medicine & Rehabilitation | 1240 Mckee Rd, Dover, DE 19904-1381 | 2014-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534318 | Stanford Community Development Corporation, Inc | Community Health Worker | 111 South West Street, Suite 5, Dover, DE 19904 | 2020-10-02 |
| 1770145120 | Cara May O'reilly | Nurse Practitioner | 540 S. Governors Ave, Ste 101a, Dover, DE 19904 | 2019-07-07 |
| 1639631716 | Victoria Louise Sisson | Physical Therapy Assistant | 301 South Banning Street, Dover, DE 19904 | 2019-04-05 |
| 1336603091 | Ashley Santana | Counselor | 32 West Lookerman Street, Suite #103, Dover, DE 19904 | 2019-01-28 |
| 1679059869 | Vicdania Home Services | Technician | 1019 South Govenors Avenue, Dover, DE 19904 | 2018-07-11 |
| 1295221372 | Pam Squared At Dover LLC | Rehabilitation Hospital | 1240 Mckee Road, Dover, DE 19904 | 2018-07-02 |
| 1871000869 | Ronald Allen Beard | Counselor | 44 Carver Road, Dover, DE 19904 | 2017-12-29 |
| 1508376518 | First State Orthopaedics, Pa | Orthopaedic Surgery | 285 Beiser Blvd, Ste 201, Dover, DE 19904 | 2017-10-04 |
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1811352826 | West Dover Dental, LLC | Dentist | 2 Greentree Drive, Dover, DE 19904 | 2015-12-17 |
| Find all providers in zip 19904 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184153868 | Advanced Pain Management Specialists, LLC | Physical Medicine & Rehabilitation | 1673 S State St Ste B, Dover, DE 19901-5148 | 2017-06-07 |
| 1568803575 | Haresh Sampathkumar | Physical Medicine & Rehabilitation | 240 Beiser Blvd Ste 201a, Dover, DE 19904-8208 | 2013-07-08 |
| 1710277652 | Pamela Ann Balentine | Physical Medicine & Rehabilitation | 421 E Wind Dr, Dover, DE 19901-8601 | 2011-04-12 |
| 1225531254 | Lauren Haviland | Physical Medicine & Rehabilitation | 65 N Sussex St, Dover, NJ 07801-3949 | 2018-03-15 |
| 1831494707 | Southern Delaware Pain Management LLC | Physical Medicine & Rehabilitation | 1979 S State St, Dover, DE 19901-5811 | 2011-01-24 |
| 1053540344 | Peter Markos | Physical Medicine & Rehabilitation | 92 Broadway, Dover, NH 03820-3227 | 2009-07-08 |
| 1003842436 | Lyndon B Cagampan | Physical Medicine & Rehabilitation | 200 Banning St, Ste 350, Dover, DE 19904-3485 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750927141 | Ivyrehab Delaware LLC | Physical Medicine & Rehabilitation | 2710 Philadelphia Pike Ste E, Claymont, DE 19703-2568 | 2019-11-21 |
| 1568944999 | Body Brain Sync, Inc | Physical Medicine & Rehabilitation | 412 Capitol Trail, Newark, DE 19711 | 2018-09-01 |
| 1770061681 | Christiana Spine Center Pa | Physical Medicine & Rehabilitation | 1101 Twin C Ln Ste 202, Newark, DE 19713-2159 | 2018-08-02 |
| 1689916603 | Michael T Schmelzer | Physical Medicine & Rehabilitation | 2060 Limestone Rd Ste 100, Wilmington, DE 19808-5500 | 2013-03-18 |
| 1316258577 | David J Davidson Iv | Physical Medicine & Rehabilitation | 2060 Limestone Rd, Suite B, Wilmington, DE 19808-5500 | 2010-06-23 |
| 1629300264 | Anthony Carroll | Physical Medicine & Rehabilitation | 063 East Delaware Ave, 053 Mckinly Lab, Newark, DE 19716 | 2010-02-08 |
| 1407018666 | Michael Rhee | Physical Medicine & Rehabilitation | 250 E Hampden Rd, Middletown, DE 19709-5303 | 2008-06-30 |
| 1245404177 | William Barrish, Md | Physical Medicine & Rehabilitation | 17015 Old Orchard Rd, Suite 1, Lewes, DE 19958-4849 | 2008-04-22 |
| 1215068812 | George Mark Bohatiuk | Physical Medicine & Rehabilitation | 500 Christiana Medical Ctr, Newark, DE 19702-1655 | 2007-03-08 |
| 1912086018 | Trauma Rehabilitation, P.a. | Physical Medicine & Rehabilitation | 11b Trolley Sq, Wilmington, DE 19806-3342 | 2006-11-02 |
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| 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.