In Seok Park (NPI# 1255428553, PAC ID# 5193901155) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1255428553 |
| PAC ID by PECOS | 5193901155 |
| Professional Enrollment ID | I20110510000113 |
| Full Name | In Seok Park |
| Organization Legal Name | APEXMED PLLC |
| Address |
505 Madison Oak Dr San Antonio TX 78258-3974 |
| Phone Number | 2104819000 |
| Gender | M |
| Graduation Year | 1980 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3678842978 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450058 | BAPTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 111 Dallas St, San Antonio, TX 78205-1201 | 2102977000 | IPC HEALTHCARE SERVICES OF TEXAS PLLC |
| 505 Madison Oak Dr, San Antonio, TX 78258-3974 | 2104819000 | APEXMED PLLC |
| 7930 Floyd Curl Dr, San Antonio, TX 78229-3925 | 2102975000 | IPC HEALTHCARE SERVICES OF TEXAS PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_154_overall | Falls: Risk Assessment | 100% | |
| MIPS_EC_154_overall | Falls: Risk Assessment | 100% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 100% | |
| MIPS_EC_155_overall | Falls: Plan of Care | 100% | |
| MIPS_EC_181_overall | Elder Maltreatment Screen and Follow-Up Plan | 100% | |
| MIPS_EC_181_overall | Elder Maltreatment Screen and Follow-Up Plan | 100% |
| Organization Legal Name | APEXMED PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vidya Vaddempudi | Family Medicine | Apexmed Pllc | 625 N Main St, Town and Country, Boerne, TX 78006-1621 |
| Wesam S Aziz | Internal Medicine | Apexmed Pllc | 3636 Medical Dr, San Antonio, TX 78229-2183 |
| Gopinath C Chandrahasan | Internal Medicine | Apexmed Pllc | 130 Spencer Ln, San Antonio, TX 78201-2109 |
| Street Address |
505 MADISON OAK DR |
| City | SAN ANTONIO |
| State | TX |
| Zip | 78258-3974 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deepa R Ghale | Nurse Practitioner | Hospitalist Medicine Physicians of Texas Pllc | 505 Madison Oak Dr, San Antonio, TX 78258-3974 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shenila Rajani | Optometry | 12349 I, Suite 35, San Antonio, TX 78258 | |
| Renee T Dunlap | Optometry | Renee Tomes Dunlap, Od, Pllc | 21019 Us Hwy 281 N, Suite 832, San Antonio, TX 78258 |
| Jesus Alcala | Physical Therapy | Momentum Physical and Sports Rehabilitation Limited Partnership | 20821 Us Hwy 281 N, Suite 110, San Antonio, TX 78258-1593 |
| Mary Layne Ezzeddine | Physical Therapy | Momentum Physical and Sports Rehabilitation Limited Partnership | 20821 Us Hwy 281 N, Suite 110, San Antonio, TX 78258-1593 |
| Zachary Pompei Miller | Physical Therapy | Momentum Physical and Sports Rehabilitation Limited Partnership | 20821 Us Hwy 281 N, Suite 110, San Antonio, TX 78258-1593 |
| Hannah M Szilagy | Physical Therapy | Momentum Physical and Sports Rehabilitation Limited Partnership | 20821 Us Hwy 281 N, Suite 110, San Antonio, TX 78258-1593 |
| Kimberly A Rios | Physical Therapy | Momentum Physical and Sports Rehabilitation Limited Partnership | 20821 Us Hwy 281 N, Suite 110, San Antonio, TX 78258-1593 |
| Emily Martinez | Physical Therapy | Momentum Physical and Sports Rehabilitation Limited Partnership | 20821 Us Hwy 281 N, Suite 110, San Antonio, TX 78258-1593 |
| Gina M Leonard-ziino | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 23530 Wilderness Oak, San Antonio, TX 78258-2406 |
| Esha Jose | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 23530 Wilderness Oak, San Antonio, TX 78258-2406 |
| Find all physicians in zip 78258 | |||
| City | SAN ANTONIO |
| Zip Code | 78258 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SAN ANTONIO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on In Seok 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.