Patrick Y Park (NPI# 1912902313, PAC ID# 0648164350) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
| Nation Provider ID (NPI) | 1912902313 |
| PAC ID by PECOS | 0648164350 |
| Professional Enrollment ID | I20100830000951 |
| Full Name | Patrick Y Park |
| Organization Legal Name | MIDWEST COLON AND RECTAL SURGERY INC |
| Address |
13421 Old Meridian St Suite 210 Carmel IN 46032-1411 |
| Phone Number | 3178445273 |
| Gender | M |
| Medical School | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 6901870617 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150157 | ST. VINCENT CARMEL HOSPITAL, INC. |
| 150084 | ST. VINCENT HOSPITALS AND HEALTH SERVICES |
| Address | Phone | Organization |
|---|---|---|
| 13421 Old Meridian St, Suite 210, Carmel, IN 46032-1411 | 3178445273 | MIDWEST COLON AND RECTAL SURGERY INC |
| Organization Legal Name | MIDWEST COLON AND RECTAL SURGERY INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John S Pittman | Colorectal Surgery (proctology) | Midwest Colon and Rectal Surgery Inc | 13421 Old Meridian St, Suite 210, Carmel, IN 46032-1411 |
| Nikhil M Patel | Colorectal Surgery (proctology) | Midwest Colon and Rectal Surgery Inc | 8424 Naab Rd, Suite 2m, Indianapolis, IN 46260-1966 |
| Street Address |
13421 OLD MERIDIAN ST SUITE 210 |
| City | CARMEL |
| State | IN |
| Zip | 46032-1411 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John S Pittman | Colorectal Surgery (proctology) | Midwest Colon and Rectal Surgery Inc | 13421 Old Meridian St, Suite 210, Carmel, IN 46032-1411 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dale Turner | Physical Therapy | 15026 Greyhound Ct, Suite A, Carmel, IN 46032-1016 | |
| Mark Daniel Jones | Chiropractic | 13632 N Meridian, Carmel, IN 46032-1358 | |
| Richard D Zeph | Plastic and Reconstructive Surgery | 13590 -b N Meridian St, Suite 201, Carmel, IN 46032-1409 | |
| Sebastian C Peers | Hand Surgery | Reconstructive Hand To Shoulder of Indiana, LLC | 13431 Old Meridian St, Suite 225, Carmel, IN 46032-1417 |
| Maureen Stark | Occupational Therapy | Reconstructive Hand To Shoulder of Indiana, LLC | 13431 Old Meridian St, Suite 225, Carmel, IN 46032-1417 |
| Sheila O Roumpf | Pathology | Ameripath Indianapolis PC | 13500 N Meridian St Pathology Dept, Carmel, IN 46032-1456 |
| Gregory K Gahl | Family Medicine | American Health Network of Indiana LLC | 13500 N Meridian St, Carmel, IN 46032-1456 |
| Kimberly R Mauller | Family Medicine | American Health Network of Indiana LLC | 13500 N Meridian St, Carmel, IN 46032-1456 |
| Daniel H Price | Anesthesiology | Northside Anesthesia Services, LLC | 13500 N Meridian St, Carmel, IN 46032-1456 |
| Chad K Brink | Anesthesiology | Northside Anesthesia Services, LLC | 13500 N Meridian St, Carmel, IN 46032-1456 |
| Find all physicians in zip 46032 | |||
| City | CARMEL |
| Zip Code | 46032 |
| Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| City + Specialty | CARMEL + COLORECTAL SURGERY (PROCTOLOGY) |
Please comment or provide details below to improve the information on Patrick Y Park.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.