John M Park (NPI# 1023394665, PAC ID# 5991960833) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1023394665 |
| PAC ID by PECOS | 5991960833 |
| Professional Enrollment ID | I20120627000677 |
| Full Name | John M Park |
| Organization Legal Name | PHYSICIANS CLINIC INC |
| Address |
717 N 190 Th Plaza Elkhorn NE 68022-3974 |
| Phone Number | 4028151700 |
| Gender | M |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 4880506062 |
| Number of Group Practice Members | 376 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280040 | THE NEBRASKA METHODIST HOSPITAL |
| 160047 | METHODIST JENNIE EDMUNDSON |
| Address | Phone | Organization |
|---|---|---|
| 1 Edmundson Pl, 310 Methodist Physicians Clinic Council Bluffs, Council Bluffs, IA 51503-4658 | 7123964360 | PHYSICIANS CLINIC INC |
| 201 Ridge St, Council Bluffs, IA 51503-4643 | PHYSICIANS CLINIC INC | |
| 933 E Pierce St, Methodist Jennie Edmundson, Council Bluffs, IA 51503-4626 | PHYSICIANS CLINIC INC | |
| 717 N 190 Th Plaza, Elkhorn, NE 68022-3974 | 4028151700 | PHYSICIANS CLINIC INC |
| 10060 Regency Circle, Omaha, NE 68114-3727 | 4023541570 | PHYSICIANS CLINIC INC |
| 1120 N 103rd Plaza, Omaha, NE 68114-1119 | PHYSICIANS CLINIC INC | |
| 16120 W Dodge Rd, Omaha, NE 68118-2049 | 4023540550 | PHYSICIANS CLINIC INC |
| 515 N 162nd Ave, Omaha, NE 68118-2540 | PHYSICIANS CLINIC INC | |
| 8303 Dodge St, Omaha, NE 68114-4108 | 4023548163 | PHYSICIANS CLINIC INC |
| Organization Legal Name | PHYSICIANS CLINIC INC |
| Physicians | 386 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Klug | Internal Medicine | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Jami Jo Dowell | Nurse Practitioner | Physicians Clinic Inc | 1400 Senate Ave, 105 Methodist Physicians Clinic Red Oak, Red Oak, IA 51566-1271 |
| Stephen Tetrault | Family Medicine | Physicians Clinic Inc | 17675 Welch Plz, Omaha, NE 68135-3453 |
| Maureen A Boyle-manganaro | Obstetrics/gynecology | Physicians Clinic Inc | 320 Ebaugh St, Methodist Physicians Clinic Glenwood, Glenwood, IA 51534-1811 |
| Stephanie R Revord | Nurse Practitioner | Physicians Clinic Inc | 3353 L St, Omaha, NE 68107-2500 |
| Umasankari Sundaram | Endocrinology | Physicians Clinic Inc | 7831 Chicago Ct, Omaha, NE 68114-3654 |
| Karen T Bagniewski | Nurse Practitioner | Physicians Clinic Inc | 10710 Fort St, Omaha, NE 68134-1204 |
| Angela R Vogel | Nurse Practitioner | Physicians Clinic Inc | 933 E Pierce St, Methodist Jennie Edmundson, Council Bluffs, IA 51503-4626 |
| Jennifer D Stone | Family Medicine | Physicians Clinic Inc | 1001 Risen Son Blvd, Council Bluffs, IA 51503-1910 |
| Anand R Deshmukh | Cardiovascular Disease (cardiology) | Physicians Clinic Inc | 1120 N 103rd Plaza, Omaha, NE 68114-1119 |
| Street Address |
717 N 190 TH PLAZA |
| City | ELKHORN |
| State | NE |
| Zip | 68022-3974 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven D Weyhrich | Family Medicine | Physicians Clinic Inc | 717 N 190 Th Plaza, Elkhorn, NE 68022-3974 |
| Randal S Cassling | Cardiovascular Disease (cardiology) | Physicians Clinic Inc | 717 N 190 Th Plaza, Elkhorn, NE 68022-3974 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis P Tierney | Cardiovascular Disease (cardiology) | Alegent Creighton Clinic | 1130 N 204th Ave, Elkhorn, NE 68022-1849 |
| Allan D Wilsey | Family Practice | Alegent Creighton Clinic | 1130 N 204th Ave, Elkhorn Clinic, Elkhorn, NE 68022-1849 |
| James D Abel | Chiropractic | 20316 Wirt St, Elkhorn, NE 68022-2696 | |
| Marcus S Kirkpatrick | Diagnostic Radiology | Plains Radiology Services PC | 21114 Cedar St, Elkhorn, NE 68022-2741 |
| Duane E Wade | Physical Therapy | Athletico Excel Nebraska LLC | 1303 S 204th St, Excel Physical Therapy, Elkhorn, NE 68022-2880 |
| Lisa J Swanson | Physical Therapy | Athletico Excel Nebraska, LLC | 1303 S 204th St, Excel Physical Therapy, Elkhorn, NE 68022-2880 |
| Edward P Montanez | Family Medicine | Skyline Medical Center, P.C. | 1908 N 203rd St, Suite 2, Elkhorn, NE 68022-2889 |
| Jill R Sobczyk | Physician Assistant | Skyline Medical Center, P.C. | 1908 N 203rd St, Suite 2, Elkhorn, NE 68022-2889 |
| Amy S Isherwood | Physical Therapy | Nebraska Orthopaedic Physical Therapy PC | 1515 S 204th St, Suite 105, Elkhorn, NE 68022-2974 |
| Lee A Mcmahon | Physical Therapy | Nebraska Orthopaedic Physical Therapy PC | 1515 S 204th St, Suite 105, Elkhorn, NE 68022-2974 |
| Find all physicians in zip 68022 | |||
| City | ELKHORN |
| Zip Code | 68022 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | ELKHORN + VASCULAR SURGERY |
Please comment or provide details below to improve the information on John M 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.