Chanun D Park (NPI# 1629038161, PAC ID# 3577623297) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1629038161 |
| PAC ID by PECOS | 3577623297 |
| Professional Enrollment ID | I20081125000249 |
| Full Name | Chanun D Park |
| Address |
1220 Business Way Unit 1 Lehigh Acres FL 33936-6073 |
| Gender | M |
| Medical School | OHIO MEDICAL UNIVERSITY |
| Graduation Year | 1997 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100107 | LEHIGH REGIONAL MEDICAL CENTER |
| 100244 | CAPE CORAL HOSPITAL - 100244 |
| Address | Phone | Organization |
|---|---|---|
| 1220 Business Way, Unit 1, Lehigh Acres, FL 33936-6073 |
| Street Address |
1220 BUSINESS WAY UNIT 1 |
| City | LEHIGH ACRES |
| State | FL |
| Zip | 33936-6073 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cameren J Hackley | Nurse Practitioner | Associates In Medicine and Surgery LLC | 1220 Business Way, Suite 2, Lehigh Acres, FL 33936-6073 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pedro Ylisastigui | Internal Medicine | 1150 Lee Blvd, Suite 4, Lehigh Acres, FL 33936-4805 | |
| Bopinder Singh | Physical Therapy | Rehabilitation Alternative Therapy and Spa Center Inc | 1150 Lee Blvd, Suite 3, Lehigh Acres, FL 33936-4805 |
| Noel A Dagta | Physical Therapy | Rehabilitation Alternative Therapy and Spa Center Inc | 1150 Lee Blvd, Suite 3, Lehigh Acres, FL 33936-4805 |
| Patricia A Gregg | Pathology | Ruffolo Hooper and Associates Md Pa | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 |
| Howard F Saslow | Orthopedic Surgery | Nautilus Health Care Group LLC | 1550 Lee Blvd, Lehigh Acres, FL 33936-4835 |
| Michael Price | Podiatry | Florida Foot and Ankle Physicians Pa | 1530 Lee Blvd, Suite 1800, Lehigh Acres, FL 33936-4835 |
| Lisa M Wilson | Nurse Practitioner | Minute Clinic LLC | 1350 Lee Blvd, Lehigh Acres, FL 33936-4846 |
| Dana M Drake | Nurse Practitioner | Minute Clinic LLC | 1350 Lee Blvd, Lehigh Acres, FL 33936-4846 |
| Gloria J Shuba | Nurse Practitioner | Minute Clinic LLC | 1350 Lee Blvd, Lehigh Acres, FL 33936-4846 |
| Melanie E Harrison | Nurse Practitioner | Minute Clinic LLC | 1350 Lee Blvd, Lehigh Acres, FL 33936-4846 |
| Find all physicians in zip 33936 | |||
| City | LEHIGH ACRES |
| Zip Code | 33936 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LEHIGH ACRES + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Chanun D 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.