Choon Myong Park, MD | |
4940 Eastern Ave, Baltimore, MD 21224-2735 | |
(410) 955-1686 | |
Not Available |
Full Name | Choon Myong Park |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 4940 Eastern Ave, Baltimore, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235179318 | NPI | - | NPPES |
714171800 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | D18745 (Maryland) | Primary |
Entity Name | Johns Hopkins University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719 |
Mailing Address | Practice Location Address |
---|---|
Choon Myong Park, MD Po Box 64588, Baltimore, MD 21264-4588 Ph: (410) 933-6401 | Choon Myong Park, MD 4940 Eastern Ave, Baltimore, MD 21224-2735 Ph: (410) 955-1686 |
Dr. David Jeffrey Eisenman, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 16 S Eutaw St, Suite 500, Baltimore, MD 21201 Phone: 410-328-5828 Fax: 410-328-5827 | |
Dr. John R Saunders Jr., M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 6569 N Charles St, Suite 401, Baltimore, MD 21204 Phone: 443-849-8940 | |
Dr. John F. Biedlingmaier, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-328-6897 Fax: 410-328-2109 | |
Dr. David W Eisele, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 601 N Caroline St, Jhoc 6215, Baltimore, MD 21287 Phone: 410-955-1080 | |
Andrew Lane, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-1686 | |
Arain A. Waseem, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 1576 Merritt Blvd, Suite # S-6, Baltimore, MD 21222 Phone: 410-282-7788 | |
Tony Yan, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 6700 Ridge Rd, Suite 3, Baltimore, MD 21237 Phone: 410-391-3434 Fax: 410-574-7574 |