SAMUEL MO PARK (NPI# 1740285907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740285907 |
| Entity Type | Individual |
| Full Name | SAMUEL MO PARK |
| Credential | M.D. |
| Practice Address |
340 W East Ave Chico CA 95926-7238 |
| Mailing Address |
236 W East Ave Ste A Pmb 253 Chico CA 95926-7238 |
| Practice Telephone | 5303422777 |
| Practice Fax Number | 5303422776 |
| Mailing Telephone | 5303422777 |
| Mailing Fax Number | 5303422776 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2012-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | G87601 | CA | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 35076716P | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 3697637 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922363183 | Samuel Park | Preventive Medicine | 2448 Historic Decatur Rd Ste 130, San Diego, CA 92106-6127 | 2012-07-12 |
| 1053607952 | Samuel Joon Park | Internal Medicine | 160 1st St Unit 551, Mineola, NY 11501-5025 | 2011-06-20 |
| 1851504377 | Samuel Sanghong Park | Orthopaedic Surgery | 12 Salt Creek Ln Ste 350, Hinsdale, IL 60521-8612 | 2007-05-08 |
| 1023174752 | Samuel Ryan Park | Anesthesiology | 22 Odyssey Ste 155, Irvine, CA 92618-3194 | 2006-12-28 |
| 1497832661 | Samuel K. Park | Family Medicine | 20072 Sw Birch St Ste 100, Newport Beach, CA 92660-0794 | 2006-11-01 |
| 1124551239 | Samuel Park | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Bb-1469, Seattle, WA 98195-0001 | 2017-04-05 |
| 1154853836 | Samuel Park | Physical Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2017-03-31 |
| 1790237899 | Samuel Park | Student in an Organized Health Care Education/Training Program | 3580 Wilshire Blvd Fl 8, Los Angeles, CA 90010-2505 | 2016-10-25 |
| 1295187136 | Samuel Park IIi | Physical Medicine & Rehabilitation | 1240 Mckee Rd, Dover, DE 19904-1381 | 2016-07-03 |
| 1205222510 | Samuel Park | Psychologist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2015-04-13 |
| Street Address |
340 W EAST AVE |
| City | CHICO |
| State | CA |
| Zip Code | 95926-7238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790312353 | Ramey Volk | Physical Therapist | 340 W East Ave, Chico, CA 95926-7238 | 2020-03-24 |
| 1902459829 | Enloe Medical Center | Skilled Nursing Facility | 340 W East Ave, Chico, CA 95926-7238 | 2019-07-19 |
| 1477079770 | Hailey Mcgregor | Nurse Practitioner | 340 W East Ave, Chico, CA 95926-7238 | 2017-08-17 |
| 1447654702 | Jeannie Chen | Nurse Practitioner | 340 W East Ave, Chico, CA 95926-7238 | 2014-10-15 |
| 1972905503 | Enloe Medical Center | Physical Medicine & Rehabilitation | 340 W East Ave, Chico, CA 95926-7238 | 2014-09-26 |
| 1154578565 | Shawn Robert Furst | Physical Medicine & Rehabilitation | 340 W East Ave, Chico, CA 95926-7238 | 2008-08-27 |
| 1245433010 | Tobey M. Leung, A.p.m.c. | Physical Medicine & Rehabilitation | 340 W East Ave, Chico, CA 95926-7238 | 2007-06-07 |
| 1982787016 | Enloe Medical Center | Rehabilitation Unit | 340 W East Ave, Chico, CA 95926-7238 | 2006-10-23 |
| 1861584294 | Vikram Podduturu | Physical Medicine & Rehabilitation | 340 W East Ave, Chico, CA 95926-7238 | 2006-09-30 |
| 1013955657 | Phillip R Filbrandt | Physical Medicine & Rehabilitation | 340 W East Ave, Chico, CA 95926-7238 | 2006-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1942313226 | Robert Kelley Otani | Physical Medicine & Rehabilitation | 552 Vallombrosa Ave, Chico, CA 95926-4038 | 2006-08-17 |
| 1518903400 | Rehab Medicine Associates, Inc | Physical Medicine & Rehabilitation | 578 Rio Lindo Ave, Ste 1, Chico, CA 95926-1800 | 2006-06-21 |
| 1972905503 | Enloe Medical Center | Physical Medicine & Rehabilitation | 340 W East Ave, Chico, CA 95926-7238 | 2014-09-26 |
| 1154578565 | Shawn Robert Furst | Physical Medicine & Rehabilitation | 340 W East Ave, Chico, CA 95926-7238 | 2008-08-27 |
| 1861548208 | Robert A. Egert | Physical Medicine & Rehabilitation | 552 Vallombrosa Ave, Chico, CA 95926-4038 | 2007-01-26 |
| 1306995931 | David Matthew Harwood | Physical Medicine & Rehabilitation | 1806 Foundation Ln, Chico, CA 95928-9206 | 2007-01-10 |
| 1861584294 | Vikram Podduturu | Physical Medicine & Rehabilitation | 340 W East Ave, Chico, CA 95926-7238 | 2006-09-30 |
| 1013955657 | Phillip R Filbrandt | Physical Medicine & Rehabilitation | 340 W East Ave, Chico, CA 95926-7238 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154730 | Drew Matthew Lemay | Physical Medicine & Rehabilitation | 2501 S El Camino Real, San Clemente, CA 92672-3350 | 2020-11-03 |
| 1821698325 | Karen Pena | Physical Medicine & Rehabilitation | 930 S Mount Vernon Ave, Grand Terrace, CA 92324-3928 | 2020-10-26 |
| 1104423052 | Prehab LLC | Physical Medicine & Rehabilitation | 10405 Sd Mssn Rd Ste 103105, San Diego, CA 92108-2102 | 2020-10-05 |
| 1699381517 | Paige Lauren Stephens | Physical Medicine & Rehabilitation | 6961 Los Amigos Cir, Huntington Beach, CA 92647-6659 | 2020-09-16 |
| 1740895788 | Rebecca Niamtu | Physical Medicine & Rehabilitation | 364 S Cloverdale Ave, Los Angeles, CA 90036-3478 | 2020-09-15 |
| 1245845296 | Brianna Brooskin | Physical Medicine & Rehabilitation | 2850 Adrian St Apt 102, San Diego, CA 92110-5700 | 2020-09-15 |
| 1366057622 | Jaime Lyn Kelley | Physical Medicine & Rehabilitation | 10213 Tillicum Way, Nevada City, CA 95959-2019 | 2020-09-14 |
| 1346853868 | Edwin Castillo | Physical Medicine & Rehabilitation | 767 Freeman Ave Apt 3, Long Beach, CA 90804-4988 | 2020-08-25 |
| 1225640675 | Hema Kamal | Physical Medicine & Rehabilitation | 1049 El Monte Ave, Mountain View, CA 94040-2398 | 2020-08-18 |
| 1760094338 | Bayhealth Connect LLC | Physical Medicine & Rehabilitation | 30 Union Ave Ste 210, Campbell, CA 95008-3162 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SAMUEL MO PARK.
| 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.