Bo Park, | |
9500 Euclid Ave # Na23, Cleveland, OH 44195-0001 | |
(216) 444-2200 | |
(216) 445-0605 |
Full Name | Bo Park |
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Gender | Female |
Speciality | Anesthesiology |
Location | 9500 Euclid Ave # Na23, Cleveland, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851852941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | H97623 (Maryland) | Primary |
Entity Name | Medstar Medical Group Ii Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347 |
Entity Name | Medstar Medical Group Anesthesiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528578333 PECOS PAC ID: 1052678034 Enrollment ID: O20171207001966 |
Mailing Address | Practice Location Address |
---|---|
Bo Park, 9500 Euclid Ave # Na23, Cleveland, OH 44195-0001 Ph: (216) 444-2200 | Bo Park, 9500 Euclid Ave # Na23, Cleveland, OH 44195-0001 Ph: (216) 444-2200 |
Lacey Ann Haugen, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 9500 Euclid Ave Dept Of, Cleveland, OH 44195 Phone: 216-444-4674 Fax: 216-445-2536 | |
Matthew Serna, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 9500 Euclid Ave # Na-23, Cleveland, OH 44195 Phone: 216-444-2200 | |
Mr. Marc Vincent Manacci, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-3722 | |
Martin V Grady, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273 | |
Dr. Kenward Yue, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, J4-331, Cleveland, OH 44195 Phone: 216-444-4674 | |
Dr. Mikhal Monson, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-1000 | |
Berta Leisy Stroud, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-0660 Fax: 216-444-7360 |