Sonny Y Park (NPI# 1720071277, PAC ID# 2264443233) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1720071277 |
| PAC ID by PECOS | 2264443233 |
| Professional Enrollment ID | I20170315000086 |
| Full Name | Sonny Y Park |
| Organization Legal Name | EDELBROOK EMERGENCY PHYSICIANS LLC |
| Address |
3901 S 7th St Terre Haute Regional Hospital Terre Haute IN 47802-5709 |
| Phone Number | 8122320021 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2001 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 5799068110 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150046 | TERRE HAUTE REGIONAL HOSPITAL |
| 151303 | ST VINCENT JENNINGS HOSPITAL INC |
| 420101 | COASTAL CAROLINA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3901 S 7th St, Terre Haute Regional Hospital, Terre Haute, IN 47802-5709 | 8122320021 | EDELBROOK EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | EDELBROOK EMERGENCY PHYSICIANS LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine Kirkendol Watson | Emergency Medicine | Edelbrook Emergency Physicians LLC | 3901 S 7th St, Terre Haute Regional Hospital, Terre Haute, IN 47802-5709 |
| Brian Joseph Finnegan | Emergency Medicine | Edelbrook Emergency Physicians LLC | 3901 S 7th St, Terre Haute Regional Hospital, Terre Haute, IN 47802-5709 |
| Brian Noel Sabowitz | Internal Medicine | Edelbrook Emergency Physicians LLC | 3901 S 7th St, Terre Haute Regional Hospital, Terre Haute, IN 47802-5709 |
| Street Address |
3901 S 7TH ST TERRE HAUTE REGIONAL HOSPITAL |
| City | TERRE HAUTE |
| State | IN |
| Zip | 47802-5709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine Kirkendol Watson | Emergency Medicine | Edelbrook Emergency Physicians LLC | 3901 S 7th St, Terre Haute Regional Hospital, Terre Haute, IN 47802-5709 |
| Brian Joseph Finnegan | Emergency Medicine | Edelbrook Emergency Physicians LLC | 3901 S 7th St, Terre Haute Regional Hospital, Terre Haute, IN 47802-5709 |
| Rachel L Woltman | Nurse Practitioner | In-i Medical Services PC | 3901 S 7th St, Terre Haute Regional Hospital, Terre Haute, IN 47802-5709 |
| Robin J Likens | Nurse Practitioner | In-i Medical Services PC | 3901 S 7th St, Terre Haute Regional Hospital, Terre Haute, IN 47802-5709 |
| Lisa E Wilson | Nurse Practitioner | In-i Medical Services PC | 3901 S 7th St, Terre Haute Regional Hospital, Terre Haute, IN 47802-5709 |
| Brian Noel Sabowitz | Internal Medicine | Edelbrook Emergency Physicians LLC | 3901 S 7th St, Terre Haute Regional Hospital, Terre Haute, IN 47802-5709 |
| Rohit M Borkhetaria | Psychiatry | Betta Inpatient Services LLC | 3901 S 7th St, Terre Haute Regional Hospital, Terre Haute, IN 47802-5709 |
| Delilah P Tapia | Anesthesiology | Eagle Plume Anesthesia Providers LLC | 3901 S 7th St, Terre Haute, IN 47802-5709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberli Rae Pepelea | Clinical Social Worker | Life Changes Mental Health and Addictions LLC | 1537 S 7th St, Terre Haute, IN 47802-1610 |
| Wendy K Kennedy | Podiatry | 1543 S 7th St, Terre Haute, IN 47802-1610 | |
| Michael A Toney | Chiropractic | 1815 S 3rd St, Terre Haute, IN 47802-1919 | |
| Christopher S Yamamoto | Chiropractic | 2940 Professional Ln, Terre Haute, IN 47802-3300 | |
| Rhonda West | Nurse Practitioner | Providence Medical Group, LLC | 2723 S 7th St C, Terre Haute, IN 47802-3558 |
| Joseph Y Abdayem | Family Medicine | Providence Medical Group, LLC | 2723 S 7th St L, Terre Haute, IN 47802-3558 |
| Tony K Nasser | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Nawar F Mercho | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Henry Johannes Davis | Rheumatology | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Neil G Kabous | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Find all physicians in zip 47802 | |||
| City | TERRE HAUTE |
| Zip Code | 47802 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | TERRE HAUTE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Sonny Y 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.