DR. MICHAEL PAK (NPI# 1922036649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922036649 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL PAK |
| Other Name | DR. VLADIMIR M. PAK |
| Credential | MD |
| Practice Address |
524 W High St Bryan OH 43506-1618 |
| Practice Telephone | 4196369800 |
| Mailing Telephone | 4196369800 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2015-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
35078837 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333441 | Michael Pak | Behavior Technician | 3303 Harbor Blvd Ste B8, Costa Mesa, CA 92626-1517 | 2020-10-10 |
| Street Address |
524 W HIGH ST |
| City | BRYAN |
| State | OH |
| Zip Code | 43506-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670580 | Wainwright Anthony Jaggernauth | Radiology | 524 W High St, Bryan, OH 43506-1618 | 2005-06-24 |
| 1407332414 | Lisa Anne Scanlon | Nurse Practitioner | 524 W High St, Bryan, OH 43506-1618 | 2018-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750883203 | Jennifer Spangler | Massage Therapist | 228 S. Main St., Bryan, OH 43506 | 2018-03-01 |
| 1922547215 | Alissa Niswonger | Specialist/Technologist | 106 Avenue B, Bryan, OH 43506 | 2017-02-20 |
| 1902140320 | Marcia Jean Slabaugh | Physical Therapy Assistant | 5299 County Road 1575, Bryan, OH 43506 | 2012-11-26 |
| 1215086640 | Filling Memorial Home Cardinal | Intermediate Care Facility, Mentally Retarded | 1211 Cardinal Drive, Bryan, OH 43506 | 2007-01-08 |
| 1396855714 | Williams County Transport | Ambulance | 05842 St Rt 15, Bryan, OH 43506 | 2006-08-30 |
| 1982635603 | Americare Health Services LLC | Durable Medical Equipment & Medical Supplies | 121 E South St, Bryan, OH 43506 | 2006-07-05 |
| 1174561963 | Richard U Baldwin | Emergency Medicine | 433 W. High St., Bryan, OH 43506 | 2006-06-03 |
| 1073595757 | Thomas A. Losey | Family Medicine | 442 West High Street, Midwest Community Health Associates, Bryan, OH 43506 | 2005-11-17 |
| 1841298296 | Claire Laree Osborn | Family Medicine | Activate Healthcare/500 W Mulberry St., Suite 101, Bryan, OH 43506 | 2005-07-11 |
| 1225519762 | Fountain City Chiropractic & Rehabilitation, Inc | Chiropractor | 1525 W High St, Ste A, Bryan, OH 43506 | 2018-08-23 |
| Find all providers in zip 43506 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619355419 | Jamie Pawlowski | Radiology | 2215 E Villa Maria Rd Ste 130, Bryan, TX 77802-2585 | 2015-05-12 |
| 1568435774 | Brazos Radiation Oncology, P.a. | Radiology | 2215 E Villa Maria Rd, Suite 130, Bryan, TX 77802-2548 | 2006-02-08 |
| 1689670580 | Wainwright Anthony Jaggernauth | Radiology | 524 W High St, Bryan, OH 43506-1618 | 2005-06-24 |
| 1154384584 | Scott Douglas Goble | Radiology | 2215 E Villa Maria Rd, #130, Bryan, TX 77802-2548 | 2006-04-07 |
| 1366415416 | Alvin Lee Schlichtemeier | Radiology | 2215 E Villa Maria Rd, Suite 130, Bryan, TX 77802-2548 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720486517 | Oncology Hematology Care, Inc. | Radiology | 900 Havemann Rd, Celina, OH 45822-1870 | 2014-12-11 |
| 1548607278 | Michael Jason Bishop | Radiology | 803 W Market St Ste 100, Lima, OH 45805-2796 | 2013-06-04 |
| 1134565120 | Jeremy Brownstein | Radiology | 460 W 10th Ave Fl 2, Columbus, OH 43210-1240 | 2013-05-16 |
| 1942569041 | Matthew Lee Knecht | Radiology | 3525 Pentagon Blvd, Ste 101, Beavercreek, OH 45431-1705 | 2012-05-09 |
| 1083841480 | Giselle T, Bretz | Radiology | 4825 Winding Creek Trl, Dayton, OH 45429-1976 | 2009-06-12 |
| 1275707614 | Thomas Nabhani | Radiology | 330 Glessner Ave, Mansfield, OH 44903-2226 | 2008-04-16 |
| 1518148691 | Ralph Riddall Dobelbower Jr. | Radiology | 1666 River Road, Maumee, OH 43537 | 2007-11-17 |
| 1902007651 | Ryan D. Steinmetz | Radiology | 501 Atrium Dr Ste 100, Middletown, OH 45005-5165 | 2007-05-30 |
| 1386854875 | Andrew B. Freeman | Radiology | 801 Ohio Health Blvd Ste 180, Delaware, OH 43015-7883 | 2007-05-23 |
| 1023143864 | Summa Physicians Inc | Radiology | 3780 Medina Rd Ste 150, Medina, OH 44256-9312 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
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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.