Charles Park
NEUROSURGICAL SPECIALTY SERVICES, LLC


Address: 1734 York Rd, Lutherville, MD 21093-5606
Phone: 4102522273

Charles Park (NPI# 1861438517, PAC ID# 3577654755) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.

Physician Overview

Nation Provider ID (NPI) 1861438517
PAC ID by PECOS 3577654755
Professional Enrollment ID I20070801000732
Full Name Charles Park
Organization Legal Name NEUROSURGICAL SPECIALTY SERVICES, LLC
Address 1734 York Rd
Lutherville
MD 21093-5606
Phone Number 4102522273
Gender M
Graduation Year 1991
Primary Specialty NEUROSURGERY
Group Practice PAC ID 0244543635
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210008 MERCY MEDICAL CENTER INC
210011 SAINT AGNES HOSPITAL
210013 BON SECOURS HOSPITAL

Other Locations

Address Phone Organization
7602 Belair Rd, Baltimore, MD 21236-4088 4106638100 NEUROSURGICAL SPECIALTY SERVICES, LLC
1734 York Rd, Lutherville, MD 21093-5606 4102522273 NEUROSURGICAL SPECIALTY SERVICES, 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_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name NEUROSURGICAL SPECIALTY SERVICES, LLC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Reyadh D Al Banna Physician Assistant Neurosurgical Specialty Services, LLC 7927 Ritchie Hwy, Glen Burnie, MD 21061-4343

Office Location

Street Address 1734 YORK RD
City LUTHERVILLE
State MD
Zip 21093-5606

Physicians in the same location

Name Specialty Organization Address
Lindsey J Stanton Nurse Practitioner Maryland Family Care Inc 1734 York Rd, Lutherville, MD 21093-5606
Sadia Rehman Khan Rheumatology Lutherville Hematology and Oncology Services 1734 York Rd, Lutherville, MD 21093-5606
Kathryn Boling Family Medicine Maryland Family Care Inc 1734 York Rd, Lutherville, MD 21093-5606
Robert A Thompson Urology St Paul Place Specialists, Inc. 1734 York Rd, Lutherville, MD 21093-5606
Sandy D Kotiah Hematology/oncology Lutherville Hematology and Oncology Services 1734 York Rd, Lutherville, MD 21093-5606
Ruth N Brocato Family Medicine Maryland Family Care Inc 1734 York Rd, Lutherville, MD 21093-5606
David Riseberg Medical Oncology Lutherville Hematology and Oncology Services 1734 York Rd, Lutherville, MD 21093-5606
Clayton Dean Orthopedic Surgery Maryland Spine Center Chartered 1734 York Rd, Lutherville, MD 21093-5606
Mark R Stromberg Internal Medicine Maryland Family Care Inc 1734 York Rd, Lutherville, MD 21093-5606
Richard M Ellerkmann Obstetrics/gynecology St Paul Place Specialists, Inc. 1734 York Rd, Lutherville, MD 21093-5606
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Jacob Wynes Podiatry University of Maryland Orthopaedic Associates, Pa One Texas Station 3rd Floor, Baltimore, MD 21093
Christina M. Penny Physical Therapy Gbmc Wp Pt Galleria Towers 1447 York Rd, 401 Active Life Pt, Lutherville, MD 21093
Kristen B Rose Nurse Practitioner University of Maryland Orthopaedic Associates, Pa One Texas Station 3rd Floor, Baltimore, MD 21093
Joshua M Abzug Orthopedic Surgery University of Maryland Orthopaedic Associates, Pa One Texas Station 3rd Floor, Baltimore, MD 21093
Kyle H Yost Family Medicine University of Maryland Orthopaedic Associates, Pa One Texas Station 3rd Floor, Baltimore, MD 21093
Debby L Taylor Nurse Practitioner University of Maryland Orthopaedic Associates, Pa One Texas Station 3rd Floor, Baltimore, MD 21093
Kendall L Buraimoh Physical Medicine and Rehabilitation University of Maryland Orthopaedic Associates, Pa One Texas Station 3rd Floor, Baltimore, MD 21093
Jenna M Levy Physician Assistant University of Maryland Orthopaedic Associates, Pa One Texas Station 3rd Floor, Baltimore, MD 21093
James Neal Hicks Jr. Physical Therapy Gbmc Wp Pt Galleria Towers 1447 York Rd, 401 Active Life Pt, Lutherville, MD 21093
Vincent Y Ng Orthopedic Surgery University of Maryland Orthopaedic Associates, Pa One Texas Station 3rd Floor, Baltimore, MD 21093
Find all physicians in zip 21093

Competitor

Search similar physicians

City LUTHERVILLE
Zip Code 21093
Specialty NEUROSURGERY
City + Specialty LUTHERVILLE + NEUROSURGERY

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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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