Jerry E Park (NPI# 1588707764, PAC ID# 4284858929) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1588707764 |
| PAC ID by PECOS | 4284858929 |
| Professional Enrollment ID | I20140618002483 |
| Full Name | Jerry E Park |
| Address |
224 S Main St Suite 1 Centerville UT 84014-2206 |
| Gender | M |
| Medical School | CLEVELAND CHIROPRACTIC COLLEGE - LOS ANGELES |
| Graduation Year | 1986 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 224 S Main St, Suite 1, Centerville, UT 84014-2206 |
| Street Address |
224 S MAIN ST SUITE 1 |
| City | CENTERVILLE |
| State | UT |
| Zip | 84014-2206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas R Gilmore | Optometry | 224 S Main St, Milbank, SD 57252-1809 | |
| Christian Aage Neldeberg | Chiropractic | 224 S Main St, River Falls, WI 54022-2424 | |
| Amanda Schroeder | Clinical Social Worker | Midamericare Pllc | 224 S Main St, Bentonville Manor Nursing Home, Bentonville, AR 72712-5963 |
| Kimberly Ann Huegel | Clinical Social Worker | 224 S Main St, Seneca, PA 16346-3035 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Devon A Toone | Chiropractic | 972 N 500, Centerville, UT 84014-1600 | |
| Mason Matthew Wybrow | Optometry | 308 N Market Place Dr, Centerville, UT 84014-1702 | |
| Craig Alexander Pew | Optometry | 200 N Market Place Dr, Centerville, UT 84014-1752 | |
| Krissa Wright | Physician Assistant | University of Utah Community Physicians Group | 26 S Main St, Centerville, UT 84014-1817 |
| Hollis A Ricker | Physician Assistant | University of Utah Community Physicians Group | 26 S Main St, Centerville, UT 84014-1817 |
| Mitchel Nelson | Physician Assistant | University of Utah Community Physicians Group | 26 S Main St, Centerville, UT 84014-1817 |
| Stacey T Vroman | Physician Assistant | University of Utah Community Physicians Group | 26 S Main St, Centerville, UT 84014-1817 |
| Jesse A Jorgensen | Physician Assistant | University of Utah Community Physicians Group | 26 S Main St, Centerville, UT 84014-1817 |
| David E Anisman | Family Medicine | University of Utah Community Physicians Group | 26 S Main St, Centerville, UT 84014-1817 |
| Julie M Lerman | Family Medicine | University of Utah Community Physicians Group | 26 S Main St, Centerville, UT 84014-1817 |
| Find all physicians in zip 84014 | |||
| City | CENTERVILLE |
| Zip Code | 84014 |
| Specialty | CHIROPRACTIC |
| City + Specialty | CENTERVILLE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Jerry E 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.