Ji Young Park (NPI# 1194084384, PAC ID# 2264741131) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1194084384 |
| PAC ID by PECOS | 2264741131 |
| Professional Enrollment ID | I20180711001708 |
| Full Name | Ji Young Park |
| Organization Legal Name | SAINT AGNES MEDICAL FOUNDATION |
| Address |
2006 Shaw Ave Clovis CA 93611-4192 |
| Phone Number | 5593249900 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7618946369 |
| Number of Group Practice Members | 137 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050093 | SAINT AGNES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2006 Shaw Ave, Clovis, CA 93611-4192 | 5593249900 | SAINT AGNES MEDICAL FOUNDATION |
| Organization Legal Name | SAINT AGNES MEDICAL FOUNDATION |
| Physicians | 92 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Javier C Garcia | Physician Assistant | Saint Agnes Medical Foundation | 1245 E Herndon Ave, Fresno, CA 93720-3235 |
| Godfred K Yankey | Undefined Physician Type (specify) | Saint Agnes Medical Foundation | 1377 E Herndon Ave, Suite 104, Fresno, CA 93720-3022 |
| Nadia S Javaid | Family Medicine | Saint Agnes Medical Foundation | 2006 Shaw Ave, Clovis, CA 93611-4192 |
| Andrea N Lorenze | Hospitalist | Saint Agnes Medical Foundation | 1379 E Herndon Ave, Fresno, CA 93720-3309 |
| Jaspreet Kaur | Family Medicine | Saint Agnes Medical Foundation | 4770 W Herndon Ave, Suite 107, Fresno, CA 93722-8401 |
| Jeannie Buhler | Nurse Practitioner | Saint Agnes Medical Foundation | 1105 E Spruce Ave, Suite 203, Fresno, CA 93720-3313 |
| Robert P Maly | Obstetrics/gynecology | Saint Agnes Medical Foundation | 7138 N Millbrook Ave, Suite 105, Fresno, CA 93720-3366 |
| Markos H Zemede | Internal Medicine | Saint Agnes Medical Foundation | 1221 E Spruce Ave, Fresno, CA 93720-3374 |
| Phillip J Kim | Family Medicine | Saint Agnes Medical Foundation | 2497 Herndon Ave, Suite 102, Clovis, CA 93611-8977 |
| Ranjeet Singh | Internal Medicine | Saint Agnes Medical Foundation | 1313 E Herndon Ave, Suite 101, Fresno, CA 93720-3306 |
| Street Address |
2006 SHAW AVE |
| City | CLOVIS |
| State | CA |
| Zip | 93611-4192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nadia S Javaid | Family Medicine | Saint Agnes Medical Foundation | 2006 Shaw Ave, Clovis, CA 93611-4192 |
| Richard Oravec | Family Medicine | Saint Agnes Medical Foundation | 2006 Shaw Ave, Clovis, CA 93611-4192 |
| Thomas D Shook Jr. | Physician Assistant | Saint Agnes Medical Foundation | 2006 Shaw Ave, Clovis, CA 93611-4192 |
| Sumera Khatoon Hayat | Family Medicine | Saint Agnes Medical Foundation | 2006 Shaw Ave, Clovis, CA 93611-4192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arnold Friedman | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 231 W Fir Ave, Clovis, CA 93611-0220 |
| James C Forsythe | Diagnostic Radiology | Beverly Radiology Medical Group IIi | 231 W Fir Ave, Clovis, CA 93611-0220 |
| William Gavril Lauder | Physical Therapy | Thrive Physical Therapy, A Professional Corporation | 221 W Fir Ave, Suite 105, Clovis, CA 93611-0223 |
| Jeffrey Todd Gardner | Family Medicine | Community Foundation Medical Group | 221 W Fir Ave, Suite 101, Clovis, CA 93611-0223 |
| Mary Beth Yuskavage | Family Medicine | Community Foundation Medical Group | 221 W Fir Ave, Suite 101, Clovis, CA 93611-0223 |
| Curtis L Cookingham | Physical Therapy | Thrive Physical Therapy, A Professional Corporation | 221 W Fir Ave, Suite 105, Clovis, CA 93611-0223 |
| Jared M Dunn | Physical Therapy | Thrive Physical Therapy, A Professional Corporation | 221 W Fir Ave, Suite 105, Clovis, CA 93611-0223 |
| Jeffrey M Mueller | Physical Therapy | Thrive Physical Therapy, A Professional Corporation | 221 W Fir Ave, Suite 105, Clovis, CA 93611-0223 |
| Amy E Shirer | Family Medicine | Community Foundation Medical Group | 221 W Fir Ave, Suite 101, Clovis, CA 93611-0223 |
| Anne Elizabeth Rushing | Nurse Practitioner | Community Foundation Medical Group | 221 W Fir Ave, Suite 101, Clovis, CA 93611-0223 |
| Find all physicians in zip 93611 | |||
| City | CLOVIS |
| Zip Code | 93611 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CLOVIS + FAMILY MEDICINE |
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| 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.