PARK MEDICAL ASSOCIATES PAR LLC (NPI# 1700103017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700103017 |
| Entity Type | Organization |
| Organization Name | PARK MEDICAL ASSOCIATES PAR LLC |
| Practice Address |
10755 Falls Rd Suite 200 Lutherville MD 21093-4515 |
| Practice Telephone | 4105837101 |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-06-16 |
| Authorized Official Name | MARY NEWMAN (PRESIDENT) |
| Authorized Official Telephone | 4105837120 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARK MEDICAL ASSOCIATES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
10755 FALLS RD SUITE 200 |
| City | LUTHERVILLE |
| State | MD |
| Zip Code | 21093-4515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770584435 | Thomas Pozefsky | Internal Medicine | 10755 Falls Rd, Suite 200, Lutherville, MD 21093-4515 | 2005-08-03 |
| 1013360387 | Joanne Elizabeth Desmond | Nurse Practitioner | 10755 Falls Rd, Suite 260, Lutherville, MD 21093-4515 | 2016-07-21 |
| 1649521634 | Anna Rae Turpin | Nurse Practitioner | 10755 Falls Rd, Lutherville, MD 21093-4515 | 2012-10-01 |
| 1770856916 | Amy Jordan Marshall | Nurse Practitioner | 10755 Falls Rd, Suite 260, Lutherville, MD 21093-4515 | 2012-02-20 |
| 1366715625 | Jack A. Goble Jr. | Physician Assistant | 10755 Falls Rd, Suite 160, Lutherville, MD 21093-4515 | 2012-02-17 |
| 1700163953 | Sarah Cavanagh Cornbrooks | Psychologist | 10755 Falls Rd, Lutherville, MD 21093-4515 | 2011-11-15 |
| 1720376841 | Tracey A Horn | Psychologist | 10755 Falls Rd, Suite 260, Lutherville, MD 21093-4515 | 2011-07-11 |
| 1104115054 | Diane Claire Pressman | Internal Medicine | 10755 Falls Rd, Suite 200, Lutherville, MD 21093-4515 | 2011-03-31 |
| 1356644884 | Pectus Services of Maryland LLC | Durable Medical Equipment & Medical Supplies | 10755 Falls Rd, Suite 460, Lutherville, MD 21093-4515 | 2010-12-06 |
| 1508178039 | Park Medical Associates Non-par LLC | Internal Medicine | 10755 Falls Rd, Suite 200, Lutherville, MD 21093-4515 | 2010-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
| 1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
| 1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
| 1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
| 1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
| 1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
| 1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
| 1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
| 1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
| 1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
| Find all providers in zip 21093 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346215746 | Richard Lawrence Huslig | Internal Medicine | 1734 York Road, Lutherville Hematology and Oncology Services, Lutherville, MD 21093 | 2006-02-20 |
| 1538454228 | Lutherville Hematology and Oncology Services | Internal Medicine | 1734 York Road, Lutherville Hematology and Oncology Services, Lutherville, MD 21093 | 2011-06-10 |
| 1376544841 | Eric Seifter | Internal Medicine | 10755 Falls Rd, Suite 200, Lutherville, MD 21093-4515 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908749 | Daniel Da Motta Girardi | Internal Medicine | National Institutes of Health (nih) Campus, Bethesda, MD 20892-0001 | 2019-12-06 |
| 1255894879 | Rcca Md LLC | Internal Medicine | 9715 Medical Center Dr Ste 221, Rockville, MD 20850-6319 | 2019-04-10 |
| 1720573132 | Mid-atlantic Oncology Hematology, LLC | Internal Medicine | 12210 Plum Orchard Dr Ste 211, Silver Spring, MD 20904-7913 | 2018-06-27 |
| 1417463951 | Anne Arundel Physician Group, LLC | Internal Medicine | 183 Harry S Truman Pkwy Ste 120, Annapolis, MD 21401-7579 | 2017-12-20 |
| 1205371135 | Giovanni Melillo | Internal Medicine | 2554 Bear Den Rd, Frederick, MD 21701-5230 | 2017-01-02 |
| 1598217473 | Jong-hoon Lee | Internal Medicine | 10905 Lamplighter Ln, Potomac, MD 20854-2782 | 2016-10-26 |
| 1467800367 | Rcca Md LLC | Internal Medicine | 18111 Prince Philip Dr Ste 327, Olney, MD 20832-1507 | 2016-06-01 |
| 1598179962 | Ronald Gress | Internal Medicine | 10 Crc3 3330, Nih, Bethesda, MD 20892-0001 | 2014-06-13 |
| 1861827586 | Timothy C Meeker | Internal Medicine | 11133 Post House Ct, Potomac, MD 20854-2535 | 2013-09-12 |
| 1750622361 | Johannes Blom | Internal Medicine | 4136 Cadle Creek Rd, Edgewater, MD 21037-4529 | 2013-03-06 |
| Find all providers with the same taxonomy | ||||
| City | LUTHERVILLE |
| Zip Code | 21093 |
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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.