Ko Un Park (NPI# 1639430614, PAC ID# 6406088525) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SURGICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1639430614 |
| PAC ID by PECOS | 6406088525 |
| Professional Enrollment ID | I20181016001782 |
| Full Name | Ko Un Park |
| Organization Legal Name | OSU SURGERY, LLC |
| Address |
1145 Olentangy River Rd Columbus OH 43212-3117 |
| Phone Number | 6142934040 |
| Gender | F |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | SURGICAL ONCOLOGY |
| Group Practice PAC ID | 0941105266 |
| Number of Group Practice Members | 146 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360242 | JAMES CANCER HOSPITAL & SOLOVE RESEARCH INSTITUTE |
| Address | Phone | Organization |
|---|---|---|
| 1145 Olentangy River Rd, Columbus, OH 43212-3117 | 6142934040 | OSU SURGERY, LLC |
| Organization Legal Name | OSU SURGERY, LLC |
| Physicians | 154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber L Traugott | Colorectal Surgery (proctology) | Osu Surgery, LLC | 4830 Knightsbridge Blvd J, Columbus, OH 43214-4322 |
| Syed G Husain | Colorectal Surgery (proctology) | Osu Surgery, LLC | 1492 E Broad St, Columbus, OH 43205-1546 |
| Priya Harakh Dedhia | General Surgery | Osu Surgery, LLC | 2050 Kenny Rd, Columbus, OH 43221-3502 |
| Asvin Minoo Ganapathi | Cardiac Surgery | Osu Surgery, LLC | 410 W 10th Ave, Columbus, OH 43210-1228 |
| Stacy Alan Brethauer | General Surgery | Osu Surgery, LLC | 2050 Kenny Rd, Columbus, OH 43221-3502 |
| Ihab O Elhassan | General Surgery | Osu Surgery, LLC | 410 W 10th Ave, Columbus, OH 43210-1228 |
| Kirsten Tychonievich | Nurse Practitioner | Osu Surgery, LLC | 2050 Kenny Rd, Columbus, OH 43221-3502 |
| Nahush A Mokadam | Cardiac Surgery | Osu Surgery, LLC | 410 W 10th Ave, Columbus, OH 43210-1228 |
| Shannon M Greaker | Nurse Practitioner | Osu Surgery, LLC | 2050 Kenny Rd, Columbus, OH 43221-3502 |
| Bradley J Needleman | General Surgery | Osu Surgery, LLC | 460 W 10th Ave, Columbus, OH 43210-1240 |
| Street Address |
1145 OLENTANGY RIVER RD |
| City | COLUMBUS |
| State | OH |
| Zip | 43212-3117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julia A Garrett | Nurse Practitioner | Osu Internal Medicine, LLC | 1145 Olentangy River Rd, Columbus, OH 43212-3117 |
| Kathleen Burnell Rogers | Nurse Practitioner | Osu Surgery, LLC | 1145 Olentangy River Rd, Columbus, OH 43212-3117 |
| Kristine K Browning | Nurse Practitioner | Ohio State University | 1145 Olentangy River Rd, Fl 4, Columbus, OH 43212-3117 |
| Julia Margaret Wetherhold | Physician Assistant | Osu Plastic Surgery, LLC | 1145 Olentangy River Rd, Columbus, OH 43212-3117 |
| Alexandria A Christian | Nurse Practitioner | Osu Surgery, LLC | 1145 Olentangy River Rd, Columbus, OH 43212-3117 |
| Amanda M Carraher | Physician Assistant | Osu Plastic Surgery, LLC | 1145 Olentangy River Rd, Columbus, OH 43212-3117 |
| Katherine J Cline | Nurse Practitioner | Osu Surgery, LLC | 1145 Olentangy River Rd, Columbus, OH 43212-3117 |
| Abby Elizabeth Williams | Physician Assistant | Osu Plastic Surgery, LLC | 1145 Olentangy River Rd, Columbus, OH 43212-3117 |
| Dawn Denton | Nurse Practitioner | Osu Surgery, LLC | 1145 Olentangy River Rd, Columbus, OH 43212-3117 |
| Andrea Lee Harper Arnett | Radiation Oncology | Osu Radiation Oncology LLC | 1145 Olentangy River Rd, Columbus, OH 43212-3117 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy L Stoffregen | Psychologist, Clinical | Lewis and Evans LLC | 1800 Riverside Dr, Columbus, OH 43212-1855 |
| Garth Heasley | Clinical Social Worker | 1943 W 5th Ave, Columbus, OH 43212-1902 | |
| Megan Alyssa Svendsen | Clinical Social Worker | 1943 W 5th Ave, Columbus, OH 43212-1902 | |
| Jayne Speicher-bocija | Psychologist, Clinical | John M. Showalter Dba Consulting Psychological Services | 1971 W 5th Ave, Suite 2, Columbus, OH 43212-1905 |
| Michel Gotwals | Clinical Social Worker | John M. Showalter Dba Consulting Psychological Services | 1971 W 5th Ave, Suite 2, Columbus, OH 43212-1905 |
| Thomas R Swearingen | Psychologist, Clinical | John M. Showalter Dba Consulting Psychological Services | 1971 W 5th Ave, Suite 2, Columbus, OH 43212-1905 |
| Michael Brickey | Psychologist, Clinical | John M. Showalter Dba Consulting Psychological Services | 1971 W 5th Ave, Suite 2, Columbus, OH 43212-1905 |
| John Michael Showalter | Psychologist, Clinical | John M. Showalter Dba Consulting Psychological Services | 1971 W 5th Ave, Suite 2, Columbus, OH 43212-1905 |
| Peggy A Lewis | Clinical Social Worker | John M. Showalter Dba Consulting Psychological Services | 1971 W 5th Ave, Suite 2, Columbus, OH 43212-1905 |
| Herbert A Hausman | Clinical Psychologist | 1971 W 5th Ave, Suite 2, Columbus, OH 43212-1905 | |
| Find all physicians in zip 43212 | |||
| City | COLUMBUS |
| Zip Code | 43212 |
| Specialty | SURGICAL ONCOLOGY |
| City + Specialty | COLUMBUS + SURGICAL ONCOLOGY |
Please comment or provide details below to improve the information on Ko Un 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.