JAY Y PARK MD, PC


Address: 360 S Garden Way Ste 230, Eugene, OR 97401-8173
Phone: 5413444168

JAY Y PARK MD, PC (NPI# 1558515494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558515494
Entity Type Organization
Organization Name JAY Y PARK MD, PC
Practice Address 360 S Garden Way Ste 230
Eugene
OR 97401-8173
Practice Telephone 5413444168
Practice Fax Number 5417432306
Mailing Telephone 5413444168
Mailing Fax Number 5417432603
Enumeration Date 2008-11-05
Last Update Date 2014-07-02
Authorized Official Name BRANDY D JACKSON (OFFICE MANAGER)
Authorized Official Telephone 5413444168
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
Allopathic & Osteopathic Physicians

Office Location

Street Address 360 S GARDEN WAY STE 230
City EUGENE
State OR
Zip Code 97401-8173

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538147053 Lisa M Ingold Physician Assistant 360 S Garden Way Ste 230, Eugene, OR 97401-8187 2006-01-04
1710349592 Joshua Clark Dermatology 360 S Garden Way Ste 230, Eugene, OR 97401-8187 2016-03-22
1467559286 Troy Richey Md PC Dermatology 360 S Garden Way Ste 230, Eugene, OR 97401-8187 2006-09-20
1023086857 Jay Y Park Dermatology 360 S Garden Way Ste 230, Eugene, OR 97401-8187 2006-03-09

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1851957047 Altru Home Care LLC Nursing Care 1345 Olive St., Eugene, OR 97401 2019-05-14
1881155208 Herron Jordanna Spence Speech-Language Pathologist 385 West 2nd Ave., Eugene, OR 97401 2019-03-28
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1881172591 Kayla Nicole O'brien Nurse Practitioner Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 2018-08-03
1962992180 Shannon Jensen Smyth Counselor Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 2018-05-14
1902305956 Christine Noel Gray Peer Specialist 499 W. 4th Ave, Eugene, OR 97401 2018-02-06
1821507344 Anjuli Chitkara Psychologist 1679 Willamette Street, Eugene, OR 97401 2017-09-27
Find all providers in zip 97401

Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871574947 Edgar Maeyens Dermatology 375 Park Ave, Suite 5, Coos Bay, OR 97420-2242 2005-11-07
1447713573 Dermatology Health Specialists, PC Dermatology 1693 Sw Chandler Ave Ste 250, Bend, OR 97702-3231 2019-04-06
1972913259 Lindsey Fix Dermatology 1605 G St, Springfield, OR 97477 2014-05-07
1780846501 Bend Memorial Clinic PC Dermatology 2600 Ne Neff Rd, Bend, OR 97701-6337 2008-07-02
1700081742 Richard I. Ecker Dermatology 706 Ne Evans St, Mcminnville, OR 97128-3926 2007-06-19
1396845814 Parwathi Vasudeva Paniker Dermatology 3600 N Interstate Ave, Portland, OR 97227-1106 2006-09-24
1184643249 William J Delgado Dermatology 2705 Ne Conners Ave, Bend, OR 97701-6904 2006-07-19
1205805405 Stephen N Snow Dermatology 3600 N Interstate Ave, Dermatology/mohs Surg Central Interstate Medical Office, Portland, OR 97227-1106 2006-03-17

Competitor

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City EUGENE
Zip Code 97401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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