Susan J Park (NPI# 1003070640, PAC ID# 9133282668) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1003070640 |
| PAC ID by PECOS | 9133282668 |
| Professional Enrollment ID | I20100420000876 |
| Full Name | Susan J Park |
| Organization Legal Name | HOMETOWN HEALTH MANAGEMENT COMPANY |
| Address |
661 Sierra Rose Dr Reno NV 89511-2060 |
| Phone Number | 7759828255 |
| Gender | F |
| Medical School | UNIVERSITY OF NEVADA SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | SPORTS MEDICINE |
| Group Practice PAC ID | 0244139798 |
| Number of Group Practice Members | 124 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290001 | RENOWN REGIONAL MEDICAL CENTER |
| 290049 | RENOWN SOUTH MEADOWS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 25 Mccabe Dr, Reno, NV 89511-5991 | 7759825000 | HOMETOWN HEALTH MANAGEMENT COMPANY |
| 661 Sierra Rose Dr, Reno, NV 89511-2060 | 7759828255 | HOMETOWN HEALTH MANAGEMENT COMPANY |
| Organization Legal Name | HOMETOWN HEALTH MANAGEMENT COMPANY |
| Physicians | 137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marie Lyn Emmerich | Nurse Practitioner | Hometown Health Management Company | 2814 N Carson St, Suite 101, Carson City, NV 89706-0177 |
| Kathleen Claire Mangir Murray | Family Medicine | Hometown Health Management Company | 4796 Caughlin Pkwy, Suite 108, Reno, NV 89519-0910 |
| Habeeb Habeeb | Internal Medicine | Hometown Health Management Company | 1075 N Hills Blvd, Suite 180, Reno, NV 89506-6799 |
| Tsung-hsien Justin Lin | Internal Medicine | Hometown Health Management Company | 3641 Gs Richards Blvd, Carson City, NV 89703-8458 |
| Brandon J Hockenberry | Family Medicine | Hometown Health Management Company | 4791 Summit Ridge Dr, Reno, NV 89523-7917 |
| Jamie Michele Schnell Blitstein | Nurse Practitioner | Hometown Health Management Company | 1595 Robb Dr, Suite 2, Reno, NV 89523-3527 |
| Ashley Elizabeth Owens | Physician Assistant | Hometown Health Management Company | 910 Vista Blvd, Sparks, NV 89434-6501 |
| Stephanie Renee Reinhardt | Family Medicine | Hometown Health Management Company | 13945 S Virginia St, Suite 632, Reno, NV 89511-8930 |
| Natalie L Chen | Internal Medicine | Hometown Health Management Company | 25 Mccabe Dr, Reno, NV 89511-5991 |
| Brion R Hill | Family Medicine | Hometown Health Management Company | 202 Los Altos Pkwy, Sparks, NV 89436-7708 |
| Street Address |
661 SIERRA ROSE DR |
| City | RENO |
| State | NV |
| Zip | 89511-2060 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristina Suzanne Lewis | Nurse Practitioner | Renewed Health and Wellness Medicine LLC | 661 Sierra Rose Dr, Reno, NV 89511-2060 |
| Dan G Snow | General Practice | Renewed Health and Wellness Medicine LLC | 661 Sierra Rose Dr, Reno, NV 89511-2060 |
| Robert Walter Watson Ii | General Surgery | Robert W Watson Md Ltd | 661 Sierra Rose Dr, Reno, NV 89511-2060 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lexi Sara Jacobson | Physician Assistant | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 6650 Kietzke Ln, Reno, NV 89511 |
| John G Scott | Urology | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 6650 Kietzke Ln, Reno, NV 89511 |
| Kathryn G Baker | Nurse Practitioner | Anne G Hayes Dermatology PC | 509 Hammill Ln, Reno, NV 89511-1004 |
| Michael A Hodes | Qualified Audiologist | Silver State Hearing and Balance, Inc. | 501 Hammill Ln, Reno, NV 89511-1004 |
| James C Mclennan | Family Medicine | 513 Hammill Ln, Reno, NV 89511-1004 | |
| Mel C Magboo | Internal Medicine | 555 Hammill Ln, Reno, NV 89511-1004 | |
| Christine N Schellin | Qualified Audiologist | Silver State Hearing and Balance, Inc. | 501 Hammill Ln, Reno, NV 89511-1004 |
| Merle F Bruce | Otolaryngology | 501 Hammill Ln, Reno, NV 89511-1004 | |
| Danielle Catherine Beebe | Qualified Audiologist | Silver State Hearing and Balance, Inc. | 501 Hammill Ln, Reno, NV 89511-1004 |
| Nancy R Henderson | Qualified Audiologist | Silver State Hearing and Balance, Inc. | 501 Hammill Ln, Reno, NV 89511-1004 |
| Find all physicians in zip 89511 | |||
| City | RENO |
| Zip Code | 89511 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | RENO + FAMILY MEDICINE |
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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.