BRIAN PARK (NPI# 1669929972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669929972 |
Entity Type | Individual |
Full Name | BRIAN PARK |
Practice Address |
20010 Century Blvd Suite 200 Germantown MD 20874-1115 |
Practice Telephone | 2406862300 |
Enumeration Date | 2016-09-02 |
Last Update Date | 2016-09-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | C06204 | MD | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407333990 | Brian Park | Dentist | 5607 Uvalde Rd # G, Houston, TX 77049-4523 | 2018-07-26 |
1811014467 | Brian Keith Park | Home Health Aide | 477 White Pond Dr, Apt 421, Akron, OH 44320-1121 | 2007-03-26 |
1215027008 | Brian Park | Radiology | Dilorezno Tricare Health Clinic, Federal Building 2, Rm 1345, Washington, DC 20370-0001 | 2006-10-13 |
1467011775 | Brian Park | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2019-06-10 |
1598225070 | Brian Sooman Park | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-6082 | 2019-03-21 |
1417451170 | Brian H Park | Student in an Organized Health Care Education/Training Program | 75 Francis St, Boston, MA 02115-6110 | 2018-03-19 |
1144757162 | Brian Park | Neurological Surgery | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2017-05-22 |
1942737697 | Brian Park | Student in an Organized Health Care Education/Training Program | 833 Chestnut Street, Suite 220, Philadelphia, PA 19107-4405 | 2017-05-12 |
1710418744 | Brian Lim Park | Student in an Organized Health Care Education/Training Program | 1 Gustave L Levy Pl, New York, NY 10029 | 2017-03-22 |
1497203947 | Brian Park | Dentist | 11727 Whittier Blvd, Whittier, CA 90601-3939 | 2016-09-13 |
Street Address |
20010 CENTURY BLVD SUITE 200 |
City | GERMANTOWN |
State | MD |
Zip Code | 20874-1115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295706828 | Napoleon Bustamante Magpantay IIi | Emergency Medicine | 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 | 2006-01-31 |
1295265007 | Joanne Broomer | Nurse Practitioner | 20010 Century Blvd, Germantown, MD 20874-1115 | 2017-06-14 |
1457809352 | Samuel David Grafton | Physician Assistant | 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 | 2016-09-20 |
1235685280 | Alexandra Shankle | Physician Assistant | 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 | 2016-08-30 |
1689040354 | Sheradyn Pitzer | Physician Assistant | 20010 Century Blvd, Germantown, MD 20874-1115 | 2015-08-18 |
1992113708 | Danielle Poole | Physician Assistant | 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 | 2014-07-24 |
1922413533 | Mayra Alexandra Bailey | Physician Assistant | 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 | 2014-06-23 |
1104246974 | Nicole Cimino- Fiallos | Emergency Medicine | 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 | 2014-04-21 |
1952747586 | Emergency Medicine Associates, P.a., P.C. | Emergency Medicine | 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 | 2013-05-22 |
1770927592 | Emily J Ahlers | Emergency Medicine | 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 | 2013-04-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033768973 | Lauren Grace Dovin | Speech-Language Pathologist | 18501 Cinnamon Dr. Germantown, Germantown, MD 20874 | 2019-09-04 |
1578119376 | Kevin Crippen | Speech-Language Pathologist | Seneca Valley High School, 19401 Crystal Rock Drive, Germantown, MD 20874 | 2019-08-16 |
1245700830 | Heather Macvean | Behavioral Analyst | 18100 Chalet Dr Apt 301, Germantown, MD 20874 | 2018-11-27 |
1811414014 | Wanai Sen Kum | Pharmacist | 12825 Westeria Drive, Germantown, MD 20874 | 2017-08-28 |
1417409160 | Bornfree Wellness Centers of America | Substance Abuse Rehabilitation Facility | 19537 Doctor's Drive, Germantown, MD 20874 | 2016-10-28 |
1396119210 | Darling St Louis | Social Worker | 18936 Port Haven Pl, Germantown, MD 20874 | 2015-11-16 |
1003289067 | Olayiwola O Oloko | Home Health Aide | 19300 Circle Gate Dr #201, Germantown, MD 20874 | 2015-11-12 |
1831562446 | Joanne Croos | Physical Therapist | 13905 Briarwick St, Germantown, MD 20874 | 2015-11-04 |
1255717070 | Caring Health Services Inc | Case Management | 12312 Quail Woods Dr, Germantown, MD 20874 | 2015-08-04 |
1184007817 | Mobile Medical Care, Inc. | Clinic/Center | 981 Rollins Ave., Rockville, MD 20874 | 2015-06-30 |
Find all providers in zip 20874 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447714704 | Erin Benefiel | Physician Assistant | 8000 Wolf River Blvd Ste 200, Germantown, TN 38138-1755 | 2019-01-30 |
1164996245 | Bradley Bailey | Physician Assistant | 19851 Observation Dr Ste 250, Germantown, MD 20876-4151 | 2019-01-11 |
1922579150 | Utkala Segu | Physician Assistant | 18629 Autumn Mist Dr, Germantown, MD 20874-2180 | 2018-12-16 |
1508382615 | Hilary Andrews | Physician Assistant | 7148 Donnington Dr, Germantown, TN 38138-4614 | 2017-08-21 |
1093168189 | Melissa Marie Whitehouse | Physician Assistant | W199n11298 Rosewood Ct, Germantown, WI 53022-2935 | 2016-07-13 |
1215205828 | Ashley Lawrence | Physician Assistant | 7705 Poplar Ave Ste 310b, Germantown, TN 38138-3930 | 2011-12-09 |
1699907758 | Xavier Dominique Lennon | Physician Assistant | 20680 Seneca Meadows Pkwy Ste 200, Germantown, MD 20876-7022 | 2009-08-21 |
1093925950 | Brooke Amanda Helms | Physician Assistant | 9067 Poplar Ave, Suite 109, Germantown, TN 38138-7851 | 2007-05-22 |
1194844183 | Katherine Mary Gresham | Physician Assistant | 7485 Poplar Pike, Germantown, TN 38138-5934 | 2007-03-29 |
1477551208 | Tammy L Welch | Physician Assistant | 20410 Observation Dr Ste 100, Germantown, MD 20876-6419 | 2005-07-14 |
Find all providers in GERMANTOWN |
City | GERMANTOWN |
Zip Code | 20874 |
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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.