DR. CHONG SHICK PARK (NPI# 1790785418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790785418 |
| Entity Type | Individual |
| Full Name | DR. CHONG SHICK PARK |
| Credential | M.D. |
| Practice Address |
143 E 2nd St Erie PA 16507-1501 |
| Practice Telephone | 8148781294 |
| Practice Fax Number | 8148781399 |
| Mailing Telephone | 8148781294 |
| Mailing Fax Number | 8148781399 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | MD019338E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0605574 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663145 | Chong Hoon Park | Acupuncturist | 12425 Cherrycreek Ln, Cerritos, CA 90703-2029 | 2019-01-20 |
| 1992703409 | Chong Min Park | Orthopaedic Surgery | 24 Doctors Ln, Suite 304, Clarion, PA 16214-8568 | 2005-07-08 |
| 1245861889 | Chong Yop Park | Pharmacist | 2205 Lavista Rd Ne, Atlanta, GA 30329-3951 | 2020-02-02 |
| 1346387198 | Chong H Park | Internal Medicine | 56-45 Main Street, Division of Cardiology, Flushing, NY 11355 | 2007-01-31 |
| 1457417180 | Chong H Park | Anesthesiology | 775 Bloomfield Ave, Montclair, NJ 07042-1880 | 2006-12-28 |
| 1992751770 | Chong K Park | Obstetrics & Gynecology | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2006-05-25 |
| 1275526477 | Chong S Park | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 575 Coal Valley Rd, Ste 504, Clairton, PA 15025-3730 | 2005-08-24 |
| Street Address |
143 E 2ND ST |
| City | ERIE |
| State | PA |
| Zip Code | 16507-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083120109 | Kristen Ashley Bianco | Occupational Therapist | 143 E 2nd St, Erie, PA 16507-1501 | 2017-12-27 |
| 1811441561 | Sally Jean Burgess | Pharmacist | 143 E 2nd St, Erie, PA 16507-1501 | 2016-08-11 |
| 1932475928 | Corey William Hickey | Physical Medicine & Rehabilitation | 143 E 2nd St, Epn Physiatry - Upmc, Erie, PA 16507-1501 | 2012-03-24 |
| 1144273947 | Patrick William Schmitt | Physical Medicine & Rehabilitation | 143 E 2nd St, Erie, PA 16507-1501 | 2006-05-19 |
| 1831162544 | Encompass Health Rehabilitation Hospital of Erie, LLC | Rehabilitation Hospital | 143 E 2nd St, Erie, PA 16507-1501 | 2006-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275198723 | Ram Baboo | Student in an Organized Health Care Education/Training Program | 120 East 2nd Street Upmc Northshore Neurology, 3rd Floor, Erie, PA 16507 | 2019-05-09 |
| 1518431915 | Katrina L Putnam | Social Worker | 101 East Avenue, Erie, PA 16507 | 2019-01-18 |
| 1144712084 | Kathlyn Elise Callenius | Student in an Organized Health Care Education/Training Program | 120 East Second St, 3rd Floor, Erie, PA 16507 | 2018-06-06 |
| 1043707490 | Cecelia Anne Hollands | Counselor | 103 East Ave., Erie, PA 16507 | 2018-04-20 |
| 1336591239 | Zachary Dusckas | Student in an Organized Health Care Education/Training Program | 100 Peach St #400, Orthopaedics & Sports Medicine of Erie, Erie, PA 16507 | 2016-07-05 |
| 1679928329 | Stephanie Libra | Occupational Therapist | 100 Barber Place, Box # 29, Erie, PA 16507 | 2016-05-02 |
| 1821476243 | Colin Macelroy Vroome Jr. | Orthopaedic Surgery | Hand, Microsurgery, Reconstructive Orthopedics, LLP, 300 State St. Suite 205, Erie, PA 16507 | 2015-05-18 |
| 1255742227 | Danoushka Tememe | Psychiatry & Neurology | 120 East Second St., 3rd Floor, Erie, PA 16507 | 2014-05-13 |
| 1811307507 | David Aaron Hammer | Psychiatry & Neurology | 120 E Second Street Upmc North Shore Neurology, 7rd Floor, Erie, PA 16507 | 2014-05-02 |
| 1912330325 | Jeanine Krugger | Pharmacist | 363 East 6th St, Erie, PA 16507 | 2013-08-21 |
| Find all providers in zip 16507 | ||||
| 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 |
|---|---|---|---|---|
| 1124630272 | Victoria Rose Lavery | Physical Medicine & Rehabilitation | 3347 W 12th St Ste 101, Erie, PA 16505-3725 | 2020-08-20 |
| 1588272587 | Advanced Medical Centers Pllc | Physical Medicine & Rehabilitation | 3901 Liberty St Ste 2, Erie, PA 16509-1689 | 2020-07-16 |
| 1932475928 | Corey William Hickey | Physical Medicine & Rehabilitation | 143 E 2nd St, Epn Physiatry - Upmc, Erie, PA 16507-1501 | 2012-03-24 |
| 1053573915 | Erie Medical & Rehab Center Inc | Physical Medicine & Rehabilitation | 3901 Liberty St, Erie, PA 16509-1689 | 2008-07-01 |
| 1700054400 | Psychophysical Rehab & Recovery P.C. | Physical Medicine & Rehabilitation | 311 W 24th St, Suite 306, Erie, PA 16502-2665 | 2008-02-15 |
| 1386839405 | Kelly Marie Kopkowski | Physical Medicine & Rehabilitation | 145 W 23rd St, Suite 202, Erie, PA 16502-2858 | 2007-09-11 |
| 1811039928 | Premier Physical Electrodiagnostic Medicine,llc | Physical Medicine & Rehabilitation | 333 State St, Suite 104, Erie, PA 16507-1450 | 2007-02-13 |
| 1104906585 | Gary F Kolarik | Physical Medicine & Rehabilitation | 232 W 25th St, Rehab Dept, Erie, PA 16544-0002 | 2006-10-17 |
| 1205873619 | Michael Orinick IIi | Physical Medicine & Rehabilitation | 135 E 38th St, Erie, PA 16504-1559 | 2006-06-02 |
| 1548214851 | Silvia Marie Ferretti | Physical Medicine & Rehabilitation | 2010 W 38th St, Erie, PA 16508-2004 | 2006-05-20 |
| Find all providers in ERIE | ||||
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| 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.