Dr James D Park, MD | |
3400 Spruce St., Philadelphia, PA 19104-4206 | |
(215) 662-4000 | |
Not Available |
Full Name | Dr James D Park |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 18 Years |
Location | 3400 Spruce St., Philadelphia, Pennsylvania |
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 |
---|---|---|---|
1245359074 | NPI | - | NPPES |
0206547 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD436922 (Pennsylvania) | Secondary |
208M00000X | Hospitalist | MD436922 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hospital Of Univ Of Pennsylvania | Philadelphia, PA | Hospital |
Penn Presbyterian Medical Center | Philadelphia, PA | Hospital |
Pennsylvania Hospital | Philadelphia, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Penn-medical Group | 6204730955 | 3051 |
Entity Name | Clinical Care Associates Of The University Of Pennsylvania Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972682995 PECOS PAC ID: 4688588866 Enrollment ID: O20031113000301 |
Entity Name | University Of Penn-medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053447151 PECOS PAC ID: 6204730955 Enrollment ID: O20150304001436 |
Mailing Address | Practice Location Address |
---|---|
Dr James D Park, MD 3400 Spruce St., Philadelphia, PA 19104-4206 Ph: (215) 662-4000 | Dr James D Park, MD 3400 Spruce St., Philadelphia, PA 19104-4206 Ph: (215) 662-4000 |
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