Dr John Stanitski Park, MD | |
2002 Medical Pkwy, Suite 235, Annapolis, MD 21401-3046 | |
(410) 266-2770 | |
(410) 841-6251 |
Full Name | Dr John Stanitski Park |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 25 Years |
Location | 2002 Medical Pkwy, Annapolis, 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 |
---|---|---|---|
1194739375 | NPI | - | NPPES |
P00471895 | Other | MD | PTAN |
Q932 | Other | MD | AAD AA COUNTY |
CN6292 | Other | MD | RR MEDICARE SHIPLEYS |
S629Q703 | Other | MD | MEDICARE ARA PTAN |
10690030 | Other | MD | BCBS |
021965A80 | Other | MD | AAD PG COUNTY |
412620300 | Medicaid | MD | |
545LQ923 | Other | MD | SHIPLEYS MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | A95402 (California) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | D0058193 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Anne Arundel Medical Center | Annapolis, MD | Hospital |
Doctors' Community Hospital | Lanham, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Luminis Health Imaging, Inc. | 8729054598 | 20 |
Brown, Croft, Frazier, Pa | 9537101746 | 24 |
Luminis Health Imaging, Inc. | 8729054598 | 20 |
Brown, Croft, Frazier, Pa | 9537101746 | 24 |
Entity Name | Luminis Health Imaging, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366420879 PECOS PAC ID: 8729054598 Enrollment ID: O20040903000184 |
Entity Name | Anne Arundel Urology, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164426045 PECOS PAC ID: 9032178918 Enrollment ID: O20041006000993 |
Entity Name | Brown, Croft, Frazier, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902807324 PECOS PAC ID: 9537101746 Enrollment ID: O20050527000410 |
Mailing Address | Practice Location Address |
---|---|
Dr John Stanitski Park, MD 2002 Medical Pkwy, Suite 235, Annapolis, MD 21401-3046 Ph: (410) 266-2770 | Dr John Stanitski Park, MD 2002 Medical Pkwy, Suite 235, Annapolis, MD 21401-3046 Ph: (410) 266-2770 |
Luqman K Dad, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2002 Medical Pkwy, Suite 235, Annapolis, MD 21401 Phone: 410-266-2770 Fax: 410-841-6251 | |
Dr. Quang Nguyen, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2001 Medical Pkwy, Annapolis, MD 21401 Phone: 410-266-2770 Fax: 410-841-6251 | |
Dr. Mark S Radowich, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2002 Medical Pkwy, Suite 235, Annapolis, MD 21401 Phone: 410-266-2770 Fax: 410-841-6251 | |
Dr. Thomas B. Lank, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 122 Defense Hwy, Chesapeake Medical Imaging, Annapolis, MD 21401 Phone: 410-571-0350 Fax: 410-571-9348 | |
Dr. Frank J Groshek, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2002 Medical Pkwy Ste 235, Annapolis, MD 21401 Phone: 410-266-2770 Fax: 410-841-6251 | |
Dr. Mark Cameron Davis, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 845 Coachway, Annapolis, MD 21401 Phone: 952-595-1100 Fax: 612-294-4903 | |
Dr. Kerry J. Thompson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2002 Medical Pkwy, Suite #235, Annapolis, MD 21401 Phone: 410-266-2770 Fax: 410-841-6251 |