CHARLES C PARK (NPI# 1861438517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861438517 |
| Entity Type | Individual |
| Full Name | CHARLES C PARK |
| Credential | MD |
| Practice Address |
301 St. Paul Place Pob # 310 Baltimore MD 21202 |
| Mailing Address |
301 St. Paul Place Medical Staff Office Baltimore MD 21202-2102 |
| Practice Telephone | 4103329872 |
| Practice Fax Number | 4106591172 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2016-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | D0051977 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 388700600 | 05 | |
| MD | CAREFIRST | BU53/0001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891865499 | Charles C Park | Dentist | 1518 E Lincoln Ave, Orange, CA 92865-1928 | 2006-11-09 |
| 1639140023 | Charles Hee Yong Park | Dentist | 4290 Chain Bridge Rd Ste 202, Fairfax, VA 22030-8158 | 2006-02-01 |
| 1972704096 | Charles Park | Surgery | 234 Goodman St, Cincinnati, OH 45219-2364 | 2007-05-29 |
| 1235214131 | Charles Keyu Park | Psychiatry & Neurology | 8158 E 5th Ave, Suite 200, Denver, CO 80230-6444 | 2006-10-26 |
| 1629179411 | Charles W. Park | Counselor | 405 Northfield Ave, Suite 204, West Orange, NJ 07052-3026 | 2006-09-26 |
| 1669408571 | Charles Park | Anesthesiology | 7300 Medical Center Dr, West Hills, CA 91307-1902 | 2006-06-23 |
| 1215928072 | Charles Park | Physician Assistant | 150 Sargent Dr, Suite 1, New Haven, CT 06511-6100 | 2005-11-02 |
| Street Address |
301 ST. PAUL PLACE POB # 310 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568431526 | Lynn M. Ludmer | Internal Medicine | 301 St. Paul Place, #411, Baltimore, MD 21202-2102 | 2006-03-14 |
| 1972067627 | Lacey Aghazarian | Physician Assistant | 301 St. Paul Place, Lobby Level, Baltimore, MD 21202-2102 | 2019-01-28 |
| 1396215463 | Michelle D. Detwiler | Physician Assistant | 301 St. Paul Place, Lobby Level, Baltimore, MD 21202 | 2018-11-30 |
| 1033687363 | Nicole Parrau | Nurse Practitioner | 301 St. Paul Place, # 402, Baltimore, MD 21202-2102 | 2018-11-05 |
| 1942777156 | Lauren Nicole Wood | Physician Assistant | 301 St. Paul Place, Lower Level, Baltimore, MD 21202 | 2018-10-25 |
| 1205317310 | Caroline Kramer | Physician Assistant | 301 St. Paul Place, Lower Level, Baltimore, MD 21202 | 2018-08-27 |
| 1447762992 | Shira Levihim | Physician Assistant | 301 St. Paul Place, Pob # 718, Baltimore, MD 21202 | 2017-10-24 |
| 1760992713 | Adam B. Sherman | Physician Assistant | 301 St. Paul Place, Lobby Level, Baltimore, MD 21202 | 2017-10-04 |
| 1316487820 | Melody Esmaili | Nurse Anesthetist, Certified Registered | 301 St. Paul Place, Dept. of Anesthesiology, 17th Floor, Baltimore, MD 21202 | 2017-03-02 |
| 1528510070 | Lauren Walker | Physician Assistant | 301 St. Paul Place, Baltimore, MD 21202 | 2016-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
| 1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
| 1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
| 1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
| 1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
| 1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
| 1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| Find all providers in zip 21202 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477033421 | Mercedez Freeman | Neurological Surgery | 4940 Eastern Ave Ste 2100, Baltimore, MD 21224-2735 | 2018-08-20 |
| 1801233101 | Hansen Bow | Neurological Surgery | 501 St. Paul Street, Apt. 805, Baltimore, MD 21202 | 2013-05-28 |
| 1972946689 | David P Mcmullen | Neurological Surgery | 1800 Orleans Street, Mailstop 6007, Johns Hopkins Hospital Department of Neurosurgery, Baltimore, MD 21287-0001 | 2013-04-11 |
| 1710229224 | Christopher Mitchell Jackson | Neurological Surgery | 600 N Wolfe St Tower 110, The Johns Hopkins Hospital, Baltimore, MD 21287-2109 | 2013-03-22 |
| 1609163898 | Jacob Cherian | Neurological Surgery | 22 S Greene St Ste S12d, Baltimore, MD 21201-1544 | 2011-07-07 |
| 1770757759 | Debraj Mukherjee | Neurological Surgery | 301 Mason Lord Dr Ste 2100, Baltimore, MD 21224-3057 | 2008-04-21 |
| 1164502852 | Charles L Schnee | Neurological Surgery | 22 S Greene St # S12d, Baltimore, MD 21201-1544 | 2006-10-17 |
| 1356389910 | Brain & Spine Specialists LLC | Neurological Surgery | 2411 W Belvedare Avenue, Suite 502, Baltimore, ME 21215-5228 | 2006-06-03 |
| 1013978915 | Richard Louis Cohen | Neurological Surgery | 1 Cornelius Ct, Baltimore, MD 21208-6332 | 2006-03-30 |
| 1417925264 | Edward Donald Layne | Neurological Surgery | 3449 Wilkens Ave, Baltimore, MD 21229-5281 | 2006-03-09 |
| Find all providers in BALTIMORE | ||||
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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.