Jin H Park (NPI# 1225033038, PAC ID# 3274532221) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| 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 |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490023 | FAUQUIER HOSPITAL |
| 490045 | NOVANT PRINCE WILLIAM MEDICAL CENTER |
| 490144 | NOVANT HEALTH UVA HEALTH HAYMARKET MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 8640 Sudley Rd, Suite 201, Manassas, VA 20110-4404 | 5712480653 | ADVANCED DIGESTIVE CARE LLC |
| 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 Legal Name | ADVANCED DIGESTIVE CARE LLC |
| Physicians | 41 |
| 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 |
| Street Address |
8640 SUDLEY RD SUITE 201 |
| City | MANASSAS |
| State | VA |
| Zip | 20110-4404 |
| 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 |
| Find all physicians in the same address | |||
| 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 |
| Find all physicians in zip 20110 | |||
| City | MANASSAS |
| Zip Code | 20110 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | MANASSAS + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Jin H 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.