MARYANN PARK (NPI# 1942201793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942201793 |
| Entity Type | Individual |
| Full Name | MARYANN PARK |
| Credential | M.D |
| Practice Address |
111 Maltese Dr Middletown NY 10940-2115 |
| Practice Telephone | 8453424774 |
| Practice Fax Number | 8458187555 |
| Mailing Telephone | 8453424774 |
| Mailing Fax Number | 8458187555 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2010-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
184679 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437712 | Maryann T Park | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2020-11-03 |
| 1871962050 | Maryann Park | Occupational Therapist | 725 Leonard St, Brooklyn, NY 11222-2350 | 2015-09-17 |
| Street Address |
111 MALTESE DR |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744892 | Stanley C. Giudici | Psychiatry & Neurology | 111 Maltese Dr, Middletown, NY 10940-2115 | 2005-07-18 |
| 1396342648 | Mckinnley Conklin | Physician Assistant | 111 Maltese Dr, Middletown, NY 10940-2115 | 2020-10-08 |
| 1548884794 | Maria Pryluck | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2141 | 2020-06-03 |
| 1407480551 | Kellie Cummings | Physician Assistant | 111 Maltese Dr, Middletown, NY 10940-2141 | 2020-02-27 |
| 1952944308 | Thomas C Macpherson | Physician Assistant | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-10-17 |
| 1801447313 | Elvira Sahmanovic | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-09-25 |
| 1225688799 | Sandra Binkowski | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-09-17 |
| 1174178222 | Elizabeth Jahn | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2115 | 2019-08-06 |
| 1194378554 | Christine Louise Straessle | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-07-24 |
| 1508426198 | Jillian Ann Carlstrom | Physician Assistant | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972920510 | Atlantis Health Care Group Inc | Internal Medicine | 14 Tindall Rd, Middletown, NJ 07748-2722 | 2014-03-20 |
| 1083681076 | Stephen R Moore | Internal Medicine | 1040 Summitt Sq, Middletown, OH 45042-3400 | 2006-03-08 |
| 1811229750 | Orange County Pulmonary, PC | Internal Medicine | 60 Prospect Ave, Middletown, NY 10940-4133 | 2010-02-03 |
| 1073647673 | Timber Ridge Medical Assoc, P.C. | Internal Medicine | 90 Crystal Run Rd, 403, Middletown, NY 10941-7101 | 2007-03-15 |
| 1700982808 | Richard Frank Walker | Internal Medicine | 90 Crystal Run Rd, Suite 403, Middletown, NY 10941-7101 | 2006-09-15 |
| 1326021817 | Prabhash Ganguli | Internal Medicine | 80 S Main St, Middletown, CT 06457-3648 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197739 | Amna Omer Internal Medicine PC | Internal Medicine | 423 W 55th St Fl T4, New York, NY 10019-4460 | 2019-10-30 |
| 1467951947 | Edward Pineles, M.d., P.C. | Internal Medicine | 69-20 Main Street, Flushing, NY 11367 | 2018-02-09 |
| 1699284281 | Long Island Pulmonary Rehabilitation PC | Internal Medicine | 326 W Neck Rd, Huntington, NY 11743-1725 | 2017-09-26 |
| 1124478987 | Islandwide Medical Pllc | Internal Medicine | 275 Helm Ln, Bay Shore, NY 11706-8118 | 2016-06-13 |
| 1578968657 | Pulmonary and Sleep Medical PC | Internal Medicine | 2523 Avenue O, Brooklyn, NY 11210-5230 | 2014-10-30 |
| 1891101853 | Purav Chetan Shah | Internal Medicine | 515 W 59th St Apt 5p, New York, NY 10019-1264 | 2014-07-10 |
| 1982027744 | Osvaldo Fulco | Internal Medicine | 120 Turtle Cove Ln, Huntington, NY 11743-3858 | 2014-01-30 |
| 1174865315 | Harish Patel Pulmonary & Sleep, Pllc | Internal Medicine | 132 Saint Nicholas Ave, Brooklyn, NY 11237-4034 | 2013-03-26 |
| 1417299934 | Peter Stangel | Internal Medicine | 512 Devries Ct, Piermont, NY 10968-1068 | 2013-03-22 |
| 1083963458 | Nadia Pletukhina | Internal Medicine | 530 1st Ave Ste 5d, New York, NY 10016 | 2012-08-31 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
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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.