Brian Park (NPI# 1891778064, PAC ID# 4981683448) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1891778064 |
| PAC ID by PECOS | 4981683448 |
| Professional Enrollment ID | I20040717000257 |
| Full Name | Brian Park |
| Organization Legal Name | MS-HC LLC |
| Address |
7138 Ritchie Hwy Glen Burnie MD 21061-2904 |
| Phone Number | 4108630500 |
| Gender | M |
| Credential | DC |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1995 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 0749172575 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4200 Edmondson Ave, 101 Multi Specialty Healthcare, Baltimore, MD 21229-1600 | 4109470300 | MS-HC LLC |
| 7138 Ritchie Hwy, Glen Burnie, MD 21061-2904 | 4108630500 | MS-HC LLC |
| Organization Legal Name | MS-HC LLC |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suja T Thrasybule | Physical Medicine and Rehabilitation | Ms-hc LLC | 2511 Edison Hwy, Multi Specialty Healthcare, Baltimore, MD 21213-1629 |
| Paul Tymchenko | Chiropractic | Ms-hc LLC | 7138 Ritchie Hwy, Glen Burnie, MD 21061-2904 |
| Sung C Kim | Chiropractic | Ms-hc LLC | 6660 Belair Rd, Baltimore, MD 21206-1844 |
| Angela A Swinson | Preventative Medicine | Ms-hc LLC | 8608 Liberty Rd, Randallstown, MD 21133-4707 |
| Jahan Sampson | Chiropractic | Ms-hc LLC | 2953 Emmorton Rd, Multi Specialty Healthcare, Abingdon, MD 21009-1631 |
| Constantine Misoul | Orthopedic Surgery | Ms-hc LLC | 2131 Maryland Ave, Baltimore, MD 21218-5614 |
| James M Norman | Chiropractic | Ms-hc LLC | 125 E High St, Multi Specialty Healthcare, Elkton, MD 21921-5624 |
| Lawrence Rubin | Internal Medicine | Ms-hc LLC | 6660 Belair Rd, Baltimore, MD 21206-1844 |
| Fitzpatrick C Wilson | Physical Medicine and Rehabilitation | Ms-hc LLC | 3261 Old Washington Rd, 2011 Multi Specialty Healthcare, Silver Spring, MD 20602-3231 |
| Faisal A Sayeed | Pain Management | Ms-hc LLC | 6660 Belair Rd, Baltimore, MD 21206-1844 |
| Street Address |
7138 RITCHIE HWY |
| City | GLEN BURNIE |
| State | MD |
| Zip | 21061-2904 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Tymchenko | Chiropractic | Ms-hc LLC | 7138 Ritchie Hwy, Glen Burnie, MD 21061-2904 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deep Hasmukh Dalal | Rheumatology | 1406 B S Crain Hwy 207, Glen Burnie, MD 21061 | |
| Samantha Villanueva | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Chinasa Onyeje | Nurse Practitioner | Minute Clinic LLC | 7095 Baltimore Annapolis Blvd, Glen Burnie, MD 21061-1431 |
| Carmen Negron-wagman | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Leanne Mckoy | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| John Ohlhaver | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Shawn Marie Wallace | Nurse Practitioner | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 |
| Nadia Koran Krause | Nurse Practitioner | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 |
| Richard P Campbell | Physician Assistant | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 |
| Karen Ann Cousins Brown | Geriatric Medicine | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 |
| Find all physicians in zip 21061 | |||
| City | GLEN BURNIE |
| Zip Code | 21061 |
| Specialty | CHIROPRACTIC |
| City + Specialty | GLEN BURNIE + CHIROPRACTIC |
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| 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.