John S Park (NPI# 1194739375, PAC ID# 1456352814) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1194739375 |
| PAC ID by PECOS | 1456352814 |
| Professional Enrollment ID | I20070817000305 |
| Full Name | John S Park |
| Organization Legal Name | ANNE ARUNDEL HEALTH CARE SERVICES,INC |
| Address |
2002 Medical Pkwy Annapolis MD 21401-3046 |
| Phone Number | 4434815330 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 8729054598 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210023 | ANNE ARUNDEL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2001 Medical Pkwy, Annapolis, MD 21401-3280 | 4102662770 | BROWN, CROFT, FRAZIER, PA |
| 2002 Medical Pkwy, Annapolis, MD 21401-3046 | 4434815330 | ANNE ARUNDEL HEALTH CARE SERVICES,INC |
| 2002 Medical Pkwy, Anne Arundel Diag Sajak, Annapolis, MD 21401-3057 | 4102662770 | BROWN, CROFT, FRAZIER, PA |
| 600 Ridgely Ave, Suite 130, Annapolis, MD 21401-1045 | 4102668049 | ANNE ARUNDEL UROLOGY, PA |
| 4175 N Hanson Ct, Bowie, MD 20716-3179 | 4434813260 | ANNE ARUNDEL HEALTH CARE SERVICES,INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% |
| Organization Legal Name | ANNE ARUNDEL HEALTH CARE SERVICES,INC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark S Radowich | Diagnostic Radiology | Anne Arundel Health Care Services,inc | 4175 N Hanson Ct, Bowie, MD 20716-3179 |
| Syed U Ashruf | Diagnostic Radiology | Anne Arundel Health Care Services,inc | 2000 Medical Pkwy, Suite 202, Annapolis, MD 21401-3744 |
| Kerry J Thompson | Diagnostic Radiology | Anne Arundel Health Care Services,inc | 4175 N Hanson Ct, Bowie, MD 20716-3179 |
| James W Reinig | Diagnostic Radiology | Anne Arundel Health Care Services,inc | 4175 N Hanson Ct, Bowie, MD 20716-3179 |
| Daina B Pack | Diagnostic Radiology | Anne Arundel Health Care Services,inc | 4175 N Hanson Ct, Bowie, MD 20716-3179 |
| Amy Sarina | Diagnostic Radiology | Anne Arundel Health Care Services,inc | 2000 Medical Pkwy, Suite 202, Annapolis, MD 21401-3744 |
| David F Todd | Diagnostic Radiology | Anne Arundel Health Care Services,inc | 2002 Medical Pkwy, Annapolis, MD 21401-3046 |
| George W Adams | Diagnostic Radiology | Anne Arundel Health Care Services,inc | 4175 N Hanson Ct, Bowie, MD 20716-3179 |
| Jack J Van Geffen | Nuclear Medicine | Anne Arundel Health Care Services,inc | 4175 N Hanson Ct, Bowie, MD 20716-3179 |
| Michael B Clark | Diagnostic Radiology | Anne Arundel Health Care Services,inc | 2000 Medical Pkwy, Suite 202, Annapolis, MD 21401-3744 |
| Street Address |
2002 MEDICAL PKWY |
| City | ANNAPOLIS |
| State | MD |
| Zip | 21401-3046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Bailey Tuscany | Qualified Audiologist | Centers for Advanced Ent Care LLC | 2002 Medical Pkwy, Suite 230, Annapolis, MD 21401-3282 |
| Jamie P Olenec | Allergy/immunology | Centers for Advanced Ent Care LLC | 2002 Medical Pkwy, Suite 230, Annapolis, MD 21401-3282 |
| Roy E Bands Jr. | Orthopedic Surgery | Orthopaedics and Spine Care, P.a. | 2002 Medical Pkwy, Suite 660, Annapolis, MD 21401-3278 |
| Gerald Wayne Newman | Dermatology | 2002 Medical Pkwy, Suite 650, Annapolis, MD 21401-3059 | |
| Prisca A Diala | Ophthalmology | Chesapeake Eye Care and Laser Center LLC. | 2002 Medical Pkwy, Suite 320, Annapolis, MD 21401-7901 |
| Annalisa Debacco Overstreet | Otolaryngology | Centers for Advanced Ent Care LLC | 2002 Medical Pkwy, Suite 230, Annapolis, MD 21401-3282 |
| Carrie V Davis | Qualified Audiologist | Centers for Advanced Ent Care LLC | 2002 Medical Pkwy, Suite 230, Annapolis, MD 21401-3282 |
| Andrew P Mcglone | Family Medicine | Anne Arundel Physician Group LLC | 2002 Medical Pkwy, Suite 670, Annapolis, MD 21401-3277 |
| Lucy B Kupersmith | Vascular Surgery | Cardiology Associates LLC | 2002 Medical Pkwy, Annapolis, MD 21401-3268 |
| Stephanie Katherine Dadds | Nurse Practitioner | Anne Arundel Physician Group LLC | 2002 Medical Pkwy, Suite 460, Annapolis, MD 21401-3263 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hien T Pham | Optometry | Visionworks, Inc | 169 Jennifer Square Ctr D, Annapolis, MD 21401 |
| Shana R Levy | Optometry | Visionworks, Inc | 169 Jennifer Square Ctr D, Annapolis, MD 21401 |
| Emily C O Meara | Optometry | The Center for Vision Development, LLC | 2525 Riva Rd, Suite 126, Annapolis, MD 21401-0077 |
| Jennifer Jayne Kungle | Optometry | The Center for Vision Development, LLC | 2525 Riva Rd, Suite 126, Annapolis, MD 21401-0077 |
| Katherine Hill | Nurse Practitioner | Anne Arundel Physician Group LLC | 2003 Medical Pkwy, Suite 150, Annapolis, MD 21401-0317 |
| Kay A Hoskey | Obstetrics/gynecology | Anne Arundel Physician Group LLC | 2003 Medical Pkwy, Suite 150, Annapolis, MD 21401-0317 |
| Johann Entinger | Podiatry | Podiatry Group of Annapolis Pa | 139 Old Solomons Island Rd C, Annapolis, MD 21401-0902 |
| James M Mckee | Podiatry | Podiatry Group of Annapolis Pa | 139 Old Solomons Island Rd, Suite C, Annapolis, MD 21401-0902 |
| Adam Lawrence Weaver | Podiatry | Podiatry Group of Annapolis Pa | 139 Old Solomons Island Rd, Suite C, Annapolis, MD 21401-0902 |
| Adeleke A Ogunmefun | Psychiatry | 139 Old Solomons Island Rd, Suite A, Annapolis, MD 21401-0902 | |
| Find all physicians in zip 21401 | |||
| City | ANNAPOLIS |
| Zip Code | 21401 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ANNAPOLIS + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on John S 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.