Jun-ki Park (NPI# 1861713471, PAC ID# 3072763028) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1861713471 |
| PAC ID by PECOS | 3072763028 |
| Professional Enrollment ID | I20151027002093 |
| Full Name | Jun-ki Park |
| Organization Legal Name | CARITAS MEDICAL CENTER |
| Address |
195 Upper Riverdale Swrd A Riverdale GA 30274-2518 |
| Phone Number | 6782840800 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 7012183478 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110191 | PIEDMONT HENRY HOSPITAL |
| 110165 | SOUTHERN REGIONAL MEDICAL CENTER |
| 110161 | NORTHSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 195 Upper Riverdale Swrd A, Riverdale, GA 30274-2518 | 6782840800 | CARITAS MEDICAL CENTER |
| 105 N Park Trail, Suite 300, Stockbridge, GA 30281-7432 | 6782840800 | CARITAS MEDICAL CENTER |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 70% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 18% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 95% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 99% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 12% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 66% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 42% |
| Organization Legal Name | CARITAS MEDICAL CENTER |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deepu Daniel | Nephrology | Caritas Medical Center | 195 Upper Riverdale Swrd A, Riverdale, GA 30274-2518 |
| Leo O Ovadje | Nephrology | Caritas Medical Center | 105 N Park Trail, Suite 300, Stockbridge, GA 30281-7432 |
| Latasha Jefferson | Nurse Practitioner | Caritas Medical Center | 105 N Park Trail, Suite 300, Stockbridge, GA 30281-7432 |
| Street Address |
195 UPPER RIVERDALE SWRD A |
| City | RIVERDALE |
| State | GA |
| Zip | 30274-2518 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deepu Daniel | Nephrology | Caritas Medical Center | 195 Upper Riverdale Swrd A, Riverdale, GA 30274-2518 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Waikel | Chiropractic | 7075 Church St, Riverdale, GA 30274-2306 | |
| Gokarnesan Natarajan | Orthopedic Surgery | 528 Valley Hill Rd Sw, Riverdale, GA 30274-2441 | |
| Felix Pelaez | General Surgery | 195 Upper Riverdale Rd Sw, Riverdale, GA 30274-2518 | |
| Feroze A Yusufji | Orthopedic Surgery | 6525 Professional Pl A, Riverdale, GA 30274-2519 | |
| Mark Guerdan | Anesthesiology | 6525 Professional Pl B, Riverdale, GA 30274-2519 | |
| Terry L Dickerson | Podiatry | 6567 Professional Pl, Riverdale, GA 30274-2519 | |
| Xuandao L Nguyen | Optometry | Nassar Enterprises,llc | 6524 Professional Pl, Riverdale, GA 30274-2520 |
| Ahmed M Nassar | Ophthalmology | Nassar Enterprises,llc | 6524 Professional Pl, Riverdale, GA 30274-2520 |
| Raghuram Kolanu | Neurology | 276 Medical Way, Riverdale, GA 30274-2521 | |
| Onwura Michael Obiekwe | Family Medicine | 217 Medical Way, Riverdale, GA 30274-2522 | |
| Find all physicians in zip 30274 | |||
| City | RIVERDALE |
| Zip Code | 30274 |
| Specialty | NEPHROLOGY |
| City + Specialty | RIVERDALE + NEPHROLOGY |
Please comment or provide details below to improve the information on Jun-ki 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.