Lily Park (NPI# 1124333455, PAC ID# 1557590056) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1124333455 |
| PAC ID by PECOS | 1557590056 |
| Professional Enrollment ID | I20140203001252 |
| Full Name | Lily Park |
| Organization Legal Name | BERMAN SKIN INSTITUTE MEDICAL GROUP INC |
| Address |
3105 Cedar Ravine Rd Suite 201 Placerville CA 95667-6561 |
| Phone Number | 5306261602 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0042407215 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050557 | MEMORIAL MEDICAL CENTER |
| 050254 | MARSHALL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3581 Palmer Dr, Suite 601, Cameron Park, CA 95682-8238 | 5306760119 | BERMAN SKIN INSTITUTE MEDICAL GROUP INC |
| 1011 Sylvan Ave, Suite C, Modesto, CA 95350-1693 | 2095504780 | SUTTER VALLEY MEDICAL FOUNDATION |
| 600 Coffee Rd, Modesto, CA 95355-4201 | SUTTER VALLEY MEDICAL FOUNDATION | |
| 3105 Cedar Ravine Rd, Suite 201, Placerville, CA 95667-6561 | 5306261602 | BERMAN SKIN INSTITUTE MEDICAL GROUP INC |
| Organization Legal Name | BERMAN SKIN INSTITUTE MEDICAL GROUP INC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaveri Korgavkar Karhade | Dermatology | Berman Skin Institute Medical Group Inc | 1 Daniel Burnham Ct, Suite 350c, San Francisco, CA 94109-0464 |
| Donita L Abangan | Dermatology | Berman Skin Institute Medical Group Inc | 1166 Live Oak Blvd, Yuba City, CA 95991-3407 |
| Ebu Scohy | Physician Assistant | Berman Skin Institute Medical Group Inc | 4300 El Camino Real, Suite 100, Los Altos, CA 94022-1090 |
| Juliana Rose Cinque | Dermatology | Berman Skin Institute Medical Group Inc | 5575 W Las Positas Blvd, Suite 220, Pleasanton, CA 94588-5802 |
| Eric Petrie Smith | Dermatology | Berman Skin Institute Medical Group Inc | 1 Daniel Burnham Ct, Suite 350c, San Francisco, CA 94109-0464 |
| Lawrence R Dardick | Radiation Oncology | Berman Skin Institute Medical Group Inc | 3105 Cedar Ravine Rd, Suite 201, Placerville, CA 95667-6561 |
| Kevin Mcmullen | Dermatology | Berman Skin Institute Medical Group Inc | 1 Daniel Burnham Ct, Suite 350c, San Francisco, CA 94109-0464 |
| Ellis James Andras | Radiation Oncology | Berman Skin Institute Medical Group Inc | 3105 Cedar Ravine Rd, Suite 201, Placerville, CA 95667-6561 |
| Monika K Chock | Dermatology | Berman Skin Institute Medical Group Inc | 900 Welch Rd, Suite 300, Palo Alto, CA 94304-1800 |
| David Adam Berman | Dermatology | Berman Skin Institute Medical Group Inc | 900 Welch Rd, Suite 300, Palo Alto, CA 94304-1800 |
| Street Address |
3105 CEDAR RAVINE RD SUITE 201 |
| City | PLACERVILLE |
| State | CA |
| Zip | 95667-6561 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence R Dardick | Radiation Oncology | Berman Skin Institute Medical Group Inc | 3105 Cedar Ravine Rd, Suite 201, Placerville, CA 95667-6561 |
| Ellis James Andras | Radiation Oncology | Berman Skin Institute Medical Group Inc | 3105 Cedar Ravine Rd, Suite 201, Placerville, CA 95667-6561 |
| Karen B Bissell | Dermatology | Berman Skin Institute Medical Group Inc | 3105 Cedar Ravine Rd, Placerville, CA 95667-6561 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chi Mei Van Hoozen | Internal Medicine | 4770 Rocklin Road, Suite 3, Rocklin, CA 95667-3334 | |
| Matthew H Shepherd | Chiropractic | 279 Placerville Dr, Suite C, Placerville, CA 95667-3931 | |
| Esther S Hall | Chiropractic | 183 Placerville Dr, Suite A, Placerville, CA 95667-3933 | |
| Charles W Burns | Chiropractic | 183 Placerville Dr, Suite A, Placerville, CA 95667-3933 | |
| Beverly Scherf | Clinical Psychologist | 2864 Ray Lawyer Dr, Suite 201, Placerville, CA 95667-3936 | |
| Michael F Liddell | Chiropractic | 2864 Ray Lawyer Dr, Placerville, CA 95667-3938 | |
| Mark Schwartzmeyer | Chiropractic | 640 Placerville Dr, Placerville, CA 95667-4215 | |
| Mandeep Singh | Nephrology | 941 Spring, Suite 2, Placerville, CA 95667-4546 | |
| Dennis J Moore | Chiropractic | 941 Spring St, Suite 1, Placerville, CA 95667-4546 | |
| Terry C Weyl | Psychologist, Clinical | 941 Spring St, Suite 5, Placerville, CA 95667-4546 | |
| Find all physicians in zip 95667 | |||
| City | PLACERVILLE |
| Zip Code | 95667 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PLACERVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Lily 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.