Samuel Joon Park (NPI# 1053607952, PAC ID# 2860775475) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1053607952 |
| PAC ID by PECOS | 2860775475 |
| Professional Enrollment ID | I20180801000791 |
| Full Name | Samuel Joon Park |
| Organization Legal Name | RURAL PHYSICIANS GROUP PANNU PLLC |
| Address |
321 Mitchell Ave Batesville IN 47006-8909 |
| Phone Number | 3033901967 |
| Gender | M |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 2011 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0345467486 |
| Number of Group Practice Members | 110 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 151322 | PERRY COUNTY MEMORIAL HOSPITAL |
| 511312 | PRESTON MEMORIAL HOSPITAL |
| 150100 | ST. MARY'S HEALTH, INC. |
| 510024 | MONONGALIA COUNTY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 321 Mitchell Ave, Batesville, IN 47006-8909 | 3033901967 | RURAL PHYSICIANS GROUP PANNU PLLC |
| 150 Memorial Dr, Kingwood, WV 26537-1141 | 3043291400 | RURAL PHYSICIANS GROUP PANNU PLLC |
| 8885 State Rd, Suite 237, Tell City, IN 47586-8567 | 3033901967 | RURAL PHYSICIANS GROUP PANNU PLLC |
| Organization Legal Name | RURAL PHYSICIANS GROUP PANNU PLLC |
| Physicians | 92 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan M Sandmann | Family Medicine | Rural Physicians Group Pannu Pllc | 895 N 6th, Mountain Home, ID 83647-2207 |
| Eric T Wang | Internal Medicine | Rural Physicians Group Pannu Pllc | 750 Hospital Loop, Craig, CO 81625-8750 |
| Prachi Toni Patel | Internal Medicine | Rural Physicians Group Pannu Pllc | 1690 Meade St, Denver, CO 80204-1552 |
| Ralph Avedisian | Internal Medicine | Rural Physicians Group Pannu Pllc | 200 E M, Suite 55, Tawas City, MI 48763-9237 |
| Curtis R Nerness | Internal Medicine | Rural Physicians Group Pannu Pllc | 1000 3rd St, Tillamook, OR 97141-3430 |
| Kari L. Grabowsky | Hospitalist | Rural Physicians Group Pannu Pllc | 210 9th Sest, Rochester, MN 55904-6756 |
| Frederick M Workman | Internal Medicine | Rural Physicians Group Pannu Pllc | 1338 Phay Ave, Canon City, CO 81212-2311 |
| Chi Lun Pui | Internal Medicine | Rural Physicians Group Pannu Pllc | 502 W 4th Ave, Toppenish, WA 98948-1616 |
| Ryan M Kealy | Hospitalist | Rural Physicians Group Pannu Pllc | 1000 3rd St, Tillamook, OR 97141-3430 |
| Marina Vladimirovna Bachurina | Internal Medicine | Rural Physicians Group Pannu Pllc | 1690 Meade St, Denver, CO 80204-1552 |
| Street Address |
321 MITCHELL AVE |
| City | BATESVILLE |
| State | IN |
| Zip | 47006-8909 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roberta Frances Woeste | Nurse Practitioner | Margaret Mary Community Hospital Inc | 321 Mitchell Ave, Batesville, IN 47006-8909 |
| Raheemuddin M Nazeer | Rheumatology | Margaret Mary Community Hospital Inc | 321 Mitchell Ave, Batesville, IN 47006-8909 |
| Gloria J Brelage | Family Medicine | Margaret Mary Community Hospital Inc | 321 Mitchell Ave, Batesville, IN 47006-8909 |
| Katie R Payne | Nurse Practitioner | Margaret Mary Community Hospital Inc | 321 Mitchell Ave, Batesville, IN 47006-8909 |
| John N Neukam | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia Associates, LLC | 321 Mitchell Ave, Batesville, IN 47006-8909 |
| Ronald Brubaker | Pathology | Greater Cincinnati Pathologists Inc | 321 Mitchell Ave, Batesville, IN 47006-8909 |
| Ravi Jatin Shah | Hospitalist | Rural Physicians Group Pannu Pllc | 321 Mitchell Ave, Batesville, IN 47006-8909 |
| Theresa M Fullenkamp | Nurse Practitioner | Margaret Mary Community Hospital Inc | 321 Mitchell Ave, Batesville, IN 47006-8909 |
| Lee Ann Bauer | Obstetrics/gynecology | 321 Mitchell Ave, Batesville, IN 47006-8909 | |
| Amy M Jelinek | Podiatry | Margaret Mary Community Hospital Inc | 321 Mitchell Ave, Batesville, IN 47006-8909 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Harmon | Clinical Social Worker | Community Mental Health Center Inc. | 16 N Park Ave, Batesville, IN 47006-1249 |
| Melody A Gongwer | Psychiatry | Community Mental Health Center Inc. | 16 N Park Ave, Batesville, IN 47006-1249 |
| Brian J Albers | General Surgery | Margaret Mary Community Hospital Inc | 24 Six Pine Ranch Rd, Batesville, IN 47006-1399 |
| James M Browne Ii | Diagnostic Radiology | Insight Diagnostic Imaging LLC | 26 Six Pine Ranch Rd, Batesville, IN 47006-1399 |
| William G Mcdonald Iii | Orthopedic Surgery | Margaret Mary Community Hospital Inc | 26 Six Pine Ranch Rd, Batesville, IN 47006-1399 |
| Purnendu P Datta | Internal Medicine | Decatur County Memorial Hospital | 26 Six Pine Ranch Rd, Batesville, IN 47006-1399 |
| Douglas Anthony Bruns | Diagnostic Radiology | Insight Diagnostic Imaging LLC | 26 Six Pine Ranch Rd, Batesville, IN 47006-1399 |
| Thomas M Brown | Obstetrics/gynecology | Margaret Mary Community Hospital Inc | 24 Six Pine Ranch Rd, Batesville, IN 47006-1399 |
| Jennifer L Fletcher | Family Medicine | Decatur County Memorial Hospital | 26 Six Pine Ranch Rd, Batesville, IN 47006-1399 |
| Thomas F Imperiale | Gastroenterology | Margaret Mary Community Hospital Inc | 24 Six Pine Ranch Rd, Batesville, IN 47006-1399 |
| Find all physicians in zip 47006 | |||
| City | BATESVILLE |
| Zip Code | 47006 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BATESVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Samuel Joon 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.