DR. PATRICK YOUNG PARK (NPI# 1912902313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912902313 |
| Entity Type | Individual |
| Full Name | DR. PATRICK YOUNG PARK |
| Credential | M.D. |
| Practice Address |
13421 Old Meridian St Ste 210 Carmel IN 46032-1411 |
| Practice Telephone | 3178445273 |
| Practice Fax Number | 3178445709 |
| Mailing Telephone | 3178445273 |
| Mailing Fax Number | 3178445709 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2007-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | 01050716A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619269701 | Patrick Jung Park | Acupuncturist | 4239 Commercial Way, Glenview, IL 60025-3573 | 2011-05-06 |
| 1912169574 | Patrick Chiho Park | Anesthesiology | 700 West Ave S, La Crosse, WI 54601-4783 | 2008-06-25 |
| 1942354451 | Patrick C Park | Dentist | 984 Monument St, 208, Pacific Palisades, CA 90272-3857 | 2007-01-22 |
| 1215975594 | Patrick T Park | Specialist | 266 S Harvard Blvd, 320, Los Angeles, CA 90004-4372 | 2006-06-02 |
| Street Address |
13421 OLD MERIDIAN ST STE 210 |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013422 | John Scott Pittman | Colon & Rectal Surgery | 13421 Old Meridian St, Ste 210, Carmel, IN 46032-1411 | 2005-06-14 |
| 1053592568 | Surgery Center Anesthesiologists, LLC | Anesthesiology | 13421 Old Meridian St, Carmel, IN 46032-1427 | 2007-11-27 |
| 1316131246 | Kelly Lynn Mathews | Physical Therapist | 13421 Old Meridian St, New Hope Orthopaedics and Sports Medicine Suite 202, Carmel, IN 46032-1427 | 2007-09-04 |
| 1457551095 | New Hope Orthopaedics and Sports Medicine PC | Orthopaedic Surgery | 13421 Old Meridian St, Suite 202, Carmel, IN 46032-1427 | 2007-07-23 |
| 1033259841 | James W Strickland Md PC | Orthopaedic Surgery | 13421 Old Meridian St, Suite 200, Carmel, IN 46032-1427 | 2007-02-08 |
| 1528070224 | Midwest Colon & Rectal Surgery Inc | Colon & Rectal Surgery | 13421 Old Meridian St, Suite 210, Carmel, IN 46032-1427 | 2006-08-12 |
| 1902831225 | Endoscopy Center, LLC | Clinic/Center | 13421 Old Meridian St, Carmel, IN 46032-1427 | 2006-07-12 |
| 1497782833 | Carmel Ambulatory Surgery Center LLC | Clinic/Center | 13421 Old Meridian St, Suite 100, Carmel, IN 46032-1427 | 2006-06-28 |
| 1225077373 | Carmel Ambulatory Surgery Center,llc | Clinic/Center | 13421 Old Meridian St, Carmel, IN 46032-1427 | 2006-06-05 |
| 1427003821 | Endoscopy Center, LLC | Clinic/Center | 13421 Old Meridian St, Carmel, IN 46032-1427 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013422 | John Scott Pittman | Colon & Rectal Surgery | 13421 Old Meridian St, Ste 210, Carmel, IN 46032-1411 | 2005-06-14 |
| 1528070224 | Midwest Colon & Rectal Surgery Inc | Colon & Rectal Surgery | 13421 Old Meridian St, Suite 210, Carmel, IN 46032-1427 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083060222 | Kathryn Freeman | Colon & Rectal Surgery | 355 Westfield Rd Ste 120, Noblesville, IN 46060-1442 | 2016-05-06 |
| 1598100323 | William Oh | Colon & Rectal Surgery | 1215 Hadley Rd Ste 201, Mooresville, IN 46158 | 2013-05-07 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| 1568795409 | Center for Colon and Rectal Care LLC | Colon & Rectal Surgery | 12012 Wood Glen Dr, Fort Wayne, IN 46814-4515 | 2009-09-10 |
| 1902065261 | Sanjay Vijaya Thekkeurumbil | Colon & Rectal Surgery | 7430 N. Shadeland Ave, Suite 200, Indianapolis, IN 46250 | 2008-06-03 |
| 1457524522 | Ben M Tsai | Colon & Rectal Surgery | 5255 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2008-04-09 |
| 1033399704 | David T. Harrison, D.o.,p.c. | Colon & Rectal Surgery | 3520 Guion Rd Ste 307, Indianapolis, IN 46222-1672 | 2007-11-09 |
| 1134318892 | Central Indiana Proctology PC | Colon & Rectal Surgery | 2315 W Jefferson St, Kokomo, IN 46901-4119 | 2007-10-18 |
| 1427081090 | Central Indiana Proctology PC | Colon & Rectal Surgery | 250 E Harrison St, Martinsville, IN 46151-1510 | 2006-07-08 |
| 1720024615 | Dalal Medical Corporation | Colon & Rectal Surgery | 9731 Prairie Ave, Highland, IN 46322-3616 | 2006-06-21 |
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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.