Robert Park (NPI# 1538112842, PAC ID# 1254366925) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1538112842 |
| PAC ID by PECOS | 1254366925 |
| Professional Enrollment ID | I20090921000127 |
| Full Name | Robert Park |
| Organization Legal Name | INSTITUTE FOR HEALTH MANAGEMENT INC |
| Address |
715 Southpoint Blvd Suite C Petaluma CA 94954-6836 |
| Phone Number | 7077786019 |
| Gender | M |
| Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1951342021 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 715 Southpoint Blvd, Suite C, Petaluma, CA 94954-6836 | 7077786019 | INSTITUTE FOR HEALTH MANAGEMENT INC |
| 715 Southpoint Blvd, Petaluma, CA 94954-6836 | 7077786019 | INSTITUTE FOR HEALTH MANAGEMENT INC |
| Organization Legal Name | INSTITUTE FOR HEALTH MANAGEMENT INC |
| Physicians | 1 |
| Street Address |
715 SOUTHPOINT BLVD SUITE C |
| City | PETALUMA |
| State | CA |
| Zip | 94954-6836 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria M Petrick | Allergy/immunology | Allergy and Asthma Adult and Pediatric Medical Group of The Redwoods I | 715 Southpoint Blvd, Suite C, Petaluma, CA 94954-6836 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald L Harris | Optometry | 1225 N Mcdowell Blvd, Petaluma, CA 94954-1112 | |
| Peter R Pretkel | Psychologist, Clinical | Psych Strategies Inc A Psychological Corp | 1301 Redwood Way, Suite 110, Petaluma, CA 94954-1136 |
| Julie L Restad | Chiropractic | 1301 Redwood Way, Suite 150, Petaluma, CA 94954-1136 | |
| Robert D Mosby | Psychologist, Clinical | Psych Strategies Inc A Psychological Corp | 1301 Redwood Way, Suite 110, Petaluma, CA 94954-1136 |
| Grace A Wakim | Psychologist, Clinical | Psych Strategies Inc A Psychological Corp | 1301 Redwood Way, Suite 110, Petaluma, CA 94954-1136 |
| Dan Lightfoot | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Kalane J Wong | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Robert L Anderson | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Robert A Harf | Orthopedic Surgery | 108 Lynch Creek Way, Suite 7, Petaluma, CA 94954-2310 | |
| Stephen M Gugenheim | Otolaryngology | St Joseph Heritage Healthcare | 108 Lynch Creek Way, Suite 7, Petaluma, CA 94954-2310 |
| Find all physicians in zip 94954 | |||
| City | PETALUMA |
| Zip Code | 94954 |
| Specialty | NEPHROLOGY |
| City + Specialty | PETALUMA + NEPHROLOGY |
Please comment or provide details below to improve the information on Robert Park.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.