Jay S Park (NPI# 1639167877, PAC ID# 1951552652) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1639167877 |
| PAC ID by PECOS | 1951552652 |
| Professional Enrollment ID | I20150810003000 |
| Full Name | Jay S Park |
| Organization Legal Name | SIMONMED IMAGING FLORIDA LLC |
| Address |
9582 W Colonial Dr Ocoee FL 34761-6992 |
| Phone Number | 4073636700 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6608036108 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9582 W Colonial Dr, Ocoee, FL 34761-6992 | 4073636700 | SIMONMED IMAGING FLORIDA LLC |
| Organization Legal Name | SIMONMED IMAGING FLORIDA LLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaya Dasgupta | Diagnostic Radiology | Simonmed Imaging Florida LLC | 265 Citrus Tower Blvd, Suite 100, Clermont, FL 34711-1908 |
| Avery J Knapp | Diagnostic Radiology | Simonmed Imaging Florida LLC | 9773 Palma Vista Way, Avery Knapp Md, Boca Raton, FL 33428-3528 |
| Omar F Usmani | Diagnostic Radiology | Simonmed Imaging Florida LLC | 277 Douglas Ave, Suite 1014, Altamonte Springs, FL 32714-3321 |
| Wayne W Windham | Diagnostic Radiology | Simonmed Imaging Florida LLC | 208 W Oak St, Kissimmee, FL 34741-4420 |
| Afolabi Sangosanya | Cardiovascular Disease (cardiology) | Simonmed Imaging Florida LLC | 6000 Turkey Lake Rd, Suite 107, Orlando, FL 32819-4205 |
| Naveed Ahmad | Diagnostic Radiology | Simonmed Imaging Florida LLC | 775 N Alafaya Trl, Orlando, FL 32828-7047 |
| Vijitha K Reddy | Diagnostic Radiology | Simonmed Imaging Florida LLC | 51 W Kaley St, Orlando, FL 32806-2942 |
| Amir Moubayed | Diagnostic Radiology | Simonmed Imaging Florida LLC | 10125 W Colonial Dr, Suite 114, Ocoee, FL 34761-4212 |
| Joseph J Kavanagh | Diagnostic Radiology | Simonmed Imaging Florida LLC | 277 Douglas Ave, Suite 1014, Altamonte Springs, FL 32714-3321 |
| Dimple Shah | Diagnostic Radiology | Simonmed Imaging Florida LLC | 51 W Kaley St, Orlando, FL 32806-2942 |
| Street Address |
9582 W COLONIAL DR |
| City | OCOEE |
| State | FL |
| Zip | 34761-6992 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Akerman | Diagnostic Radiology | Simonmed Imaging Florida LLC | 9582 W Colonial Dr, Ocoee, FL 34761-6992 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alex C Perdomo | Family Medicine | Silver Star Family Medicine | 1202 E Silver Star Rd, Ocoee, FL 34761-2460 |
| Georgina C Perdomo | Family Medicine | Silver Star Family Medicine | 1202 E Silver Star Rd, Ocoee, FL 34761-2460 |
| Steven Richard Harrison | Chiropractic | 1607 E Silver Star Rd, Ocoee, FL 34761-2553 | |
| Maryann Daniels | Physical Therapy | Hohman Rehab and Sports Therapy LLC | 11169 W Colonial Dr, Ocoee, FL 34761-2935 |
| Sarah Ortiz | Physical Therapy | Hohman Rehab and Sports Therapy LLC | 11169 W Colonial Dr, Ocoee, FL 34761-2935 |
| Kristin Spear | Physical Therapy | Hohman Rehab and Sports Therapy LLC | 11169 W Colonial Dr, Ocoee, FL 34761-2935 |
| William K Bowman | Family Practice | Orlando Urgent Care LLC | 2700 Old Winter Garden Rd, Ocoee, FL 34761-2964 |
| William P Barnard | Emergency Medicine | Orlando Urgent Care LLC | 2700 Old Winter Garden Rd, Ocoee, FL 34761-2964 |
| Karin I Kurowski | Family Practice | Orlando Urgent Care LLC | 2700 Old Winter Garden Rd, Ocoee, FL 34761-2964 |
| Osama M Ansari | Internal Medicine | 1551 Boren Dr, Suite B, Ocoee, FL 34761-2966 | |
| Find all physicians in zip 34761 | |||
| City | OCOEE |
| Zip Code | 34761 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | OCOEE + DIAGNOSTIC RADIOLOGY |
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| 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.