Jin H Park
ADVANCED DIGESTIVE CARE LLC


Address: 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404
Phone: 5712480653

Jin H Park (NPI# 1225033038, PAC ID# 3274532221) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.

Physician Overview

Nation Provider ID (NPI) 1225033038
PAC ID by PECOS 3274532221
Professional Enrollment ID I20110808000012
Full Name Jin H Park
Organization Legal Name ADVANCED DIGESTIVE CARE LLC
Address 8640 Sudley Rd
Suite 201
Manassas
VA 20110-4404
Phone Number 5712480653
Gender M
Graduation Year 1997
Primary Specialty GASTROENTEROLOGY
Group Practice PAC ID 3375857725
Number of Group Practice Members 47
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490023 FAUQUIER HOSPITAL
490045 NOVANT PRINCE WILLIAM MEDICAL CENTER
490144 NOVANT HEALTH UVA HEALTH HAYMARKET MEDICAL CENTER

Other Locations

Address Phone Organization
8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404 5712480653 ADVANCED DIGESTIVE CARE LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 75%
ACI_EC_TRANS_HIE_1 Health Information Exchange 9%
ACI_EC_TRANS_MR_1 Medication Reconciliation 99%
ACI_EC_TRANS_PEA_1 Provide Patient Access 85%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 18%
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 38%
ACI_EC_TRANS_SM_1 Secure Messaging 27%

Organization Information

Organization Legal Name ADVANCED DIGESTIVE CARE LLC
Physicians 41

Physicians with the same organization

Name Specialty Organization Address
Eduardo C Noguera Gastroenterology Advanced Digestive Care LLC 11440 Commerce Dr Park, Suite Ll 4, Reston, DC 20191
Jack C Huang Gastroenterology Advanced Digestive Care LLC 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722
Jacqueline Ramirez Physician Assistant Advanced Digestive Care LLC 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404
Myung Choi Gastroenterology Advanced Digestive Care LLC 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404
Crystal Mcgovern Nurse Practitioner Advanced Digestive Care LLC 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404
Nina Phatak Gastroenterology Advanced Digestive Care LLC 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404
Stafford S Goldstein Gastroenterology Advanced Digestive Care LLC 3301 Woodburn Rd, Suite 107, Annandale, VA 22003-1297
Darren S Baroni Gastroenterology Advanced Digestive Care LLC 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404
Ghazaleh Aram Gastroenterology Advanced Digestive Care LLC 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722
Michelle D Bachtold Physician Assistant Advanced Digestive Care LLC 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404

Office Location

Street Address 8640 SUDLEY RD
SUITE 201
City MANASSAS
State VA
Zip 20110-4404

Physicians in the same location

Name Specialty Organization Address
Susan B Campbell Nurse Practitioner Nmg Affiliate Practice I, LLC 8640 Sudley Rd, Suite 203, Manassas, VA 20110-4404
Jacqueline Ramirez Physician Assistant Advanced Digestive Care LLC 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404
Myung Choi Gastroenterology Advanced Digestive Care LLC 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404
David Mark Demaria Cardiovascular Disease (cardiology) Nmg Affiliate Practice I, LLC 8640 Sudley Rd, Suite 302, Manassas, VA 20110-4404
Robert A W Latimer Jr. Family Medicine Nmg Affiliate Practice I, LLC 8640 Sudley Rd, Suite 203, Manassas, VA 20110-4404
Crystal Mcgovern Nurse Practitioner Advanced Digestive Care LLC 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404
Nina Phatak Gastroenterology Advanced Digestive Care LLC 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404
Navneen Chahal Physician Assistant Nmg Affiliate Practice I, LLC 8640 Sudley Rd, Manassas, VA 20110-4404
Janet L Breslin Nurse Practitioner Nmg Affiliate Practice I, LLC 8640 Sudley Rd, Suite 203, Manassas, VA 20110-4404
Darren S Baroni Gastroenterology Advanced Digestive Care LLC 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404
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Physicians in the same zip code

Name Specialty Organization Address
Syamala K Naroji Obstetrics/gynecology 8071 Digges Rd, Manassas, VA 20110
Eugene H Kim Nephrology Kidney and Hypertension Specialists, Pllc 9378 Forestwood Lane E, Manassas, VA 20110
Rashida K Rahman Nephrology Kidney and Hypertension Specialists, Pllc 9378 Forestwood Lane E, Manassas, VA 20110
Jay J Lee Optometry 9405 Liberia Ave, Manassas, VA 20110-1718
Sofia Naz Ahmad Optometry Advanced Ophthalmology,inc 9161 Liberia Ave, Suite 405, Manassas, VA 20110-1723
Babur B Lateef Ophthalmology Advanced Ophthalmology,inc 9161 Liberia Ave, Suite 405, Manassas, VA 20110-1723
Lisa H Kerrigan Physical Therapy Advantage Physical Therapy and Rehabilitation LLC 9161 Liberia Ave, Suite 205, Manassas, VA 20110-1725
Salma Chakhachirou Optometry Manassas Optometry, LLC 9675 Liberia Ave, Suite 220, Manassas, VA 20110-1741
Rosemary Clara Nzeogu Nurse Practitioner Greater Prince William Area Community Health Center Inc 9705 Liberia Ave, Suite 201, Manassas, VA 20110-1744
Jennifer Leigh Folks Nurse Practitioner Greater Prince William Area Community Health Center Inc 9705 Liberia Ave, Suite 201, Manassas, VA 20110-1744
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Competitor

Search similar physicians

City MANASSAS
Zip Code 20110
Specialty GASTROENTEROLOGY
City + Specialty MANASSAS + GASTROENTEROLOGY

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Dataset Information

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.

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