Charles C Park, MD | |
301 St. Paul Place, Pob # 310, Baltimore, MD 21202 | |
(410) 332-9872 | |
(410) 659-1172 |
Full Name | Charles C Park |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 34 Years |
Location | 301 St. Paul Place, Baltimore, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861438517 | NPI | - | NPPES |
388700600 | Medicaid | MD | |
BU53/0001 | Other | MD | CAREFIRST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | D0051977 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Stella Maris Inc | Timonium, MD | Home health agency |
Kindred At Home | Columbia, MD | Home health agency |
Mercy Medical Center Inc | Baltimore, MD | Hospital |
Beebe Medical Center | Lewes, DE | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Neurosurgical Specialty Services, Llc | 0244543635 | 2 |
Entity Name | Neurosurgical Specialty Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013303213 PECOS PAC ID: 0244543635 Enrollment ID: O20150714001377 |
Mailing Address | Practice Location Address |
---|---|
Charles C Park, MD 301 St. Paul Place, Medical Staff Office, Baltimore, MD 21202-2102 Ph: () - | Charles C Park, MD 301 St. Paul Place, Pob # 310, Baltimore, MD 21202 Ph: (410) 332-9872 |
Dr. Whitney Erin Parker, MD, PHD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 600 N Wolfe Street, Phipps 554, Baltimore, MD 21287 Phone: 410-955-7851 Fax: 410-367-3255 | |
Dr. Richard Louis Cohen, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Cornelius Ct, Baltimore, MD 21208 Phone: 410-764-3100 | |
Dr. William Wallace Ashley Jr., M.D., PH.D., M.B.A. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 5051 Greenspring Ave, Suite 300, Baltimore, MD 21209 Phone: 410-601-4417 Fax: 410-601-7138 | |
Dr. James Edmond Conway, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 5051 Greenspring Ave, Suite 101, Baltimore, MD 21209 Phone: 410-664-3680 Fax: 410-664-3686 | |
Dr. Daniel Michael Sciubba, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe St, Meyer Building 8-161, Baltimore, MD 21287 Phone: 410-491-8330 Fax: 410-502-5768 | |
Hatem S Abdo, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 19 Fontana Ln, Ste 206, Baltimore, MD 21237 Phone: 410-391-6904 Fax: 410-686-6640 | |
Omar Akram Zalatimo, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2700 Quarry Lake Dr, Suite 360, Baltimore, MD 21209 Phone: 410-486-0090 Fax: 410-486-0093 |