Gregory L Park (NPI# 1861497596, PAC ID# 3870483589) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1861497596 |
| PAC ID by PECOS | 3870483589 |
| Professional Enrollment ID | I20040614001422 |
| Full Name | Gregory L Park |
| Address |
30 N Church St Wailuku HI 96793-1600 |
| Gender | M |
| Credential | MD |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 1975 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | MEDICAL ONCOLOGY |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 120002 | MAUI MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 161 Wailea Ike Place, Suite B102, Wailea, HI 96753-6502 | 8088759095 | WAILEA MEDICAL GROUP LLC |
| 30 N Church St, Wailuku, HI 96793-1600 |
| Street Address |
30 N CHURCH ST |
| City | WAILUKU |
| State | HI |
| Zip | 96793-1600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna M Buraczewski | Optometry | 30 N Church St, Carbondale, PA 18407-1905 | |
| Liat Miller | Nurse Practitioner | Celeste Adrian Md LLC | 30 N Church St, Suite 300, Wailuku, HI 96793-1600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Soren Carlsen | Urology | 1883 Mill St, Wailuku, HI 96793-1236 | |
| Robert D Lanser Jr. | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| David J Wittenberg | Psychologist, Clinical | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Bahram Taghavi | Psychiatry | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Margaret E Goldberg | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| George L Carlson | Addiction Medicine | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Connie J Debord | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Joel Tapler | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Royal Randolph Jr. | Psychiatry | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Sharilyn Jane Butteling | Nurse Practitioner | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Find all physicians in zip 96793 | |||
| City | WAILUKU |
| Zip Code | 96793 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WAILUKU + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Gregory L 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.