Peter H Park (NPI# 1750328860, PAC ID# 2365340403) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC ELECTROPHYSIOLOGY.
| Nation Provider ID (NPI) | 1750328860 |
| PAC ID by PECOS | 2365340403 |
| Professional Enrollment ID | I20060713000182 |
| Full Name | Peter H Park |
| Organization Legal Name | MIDWEST HEART AND VASCULAR SPECIALISTS LLC |
| Address |
12200 W 106th St Suite 320 Overland Park KS 66215-2305 |
| Phone Number | 9132270506 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | CARDIAC ELECTROPHYSIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 7618122417 |
| Number of Group Practice Members | 69 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170182 | MENORAH MEDICAL CENTER |
| 170176 | OVERLAND PARK REG MED CTR |
| 260027 | RESEARCH MEDICAL CENTER |
| 260214 | BELTON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 19600 E 39th St S, Centerpoint Medical Center, Independence, MO 64057-2301 | 8166987000 | MIDWEST HEART AND VASCULAR SPECIALISTS LLC |
| 2316 E Meyer Blvd, Research Medical Center, Kansas City, MO 64132-1136 | 9132533000 | MIDWEST HEART AND VASCULAR SPECIALISTS LLC |
| 2000 Se Blue Pkwy, Suite 250, Lees Summit, MO 64063-1029 | 9139060833 | MIDWEST HEART AND VASCULAR SPECIALISTS LLC |
| 12200 W 106th St, Suite 320, Overland Park, KS 66215-2305 | 9132270506 | MIDWEST HEART AND VASCULAR SPECIALISTS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | MIDWEST HEART AND VASCULAR SPECIALISTS LLC |
| Physicians | 72 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott M Koerber | Cardiac Electrophysiology | Midwest Heart and Vascular Specialists LLC | 2330 E Meyer Blvd, Suite 509, Kansas City, MO 64132-1143 |
| Dhanunjaya R Lakkireddy | Cardiac Electrophysiology | Midwest Heart and Vascular Specialists LLC | 2340 E Meyer 2, Suite 382, Kansas City, MO 64132-1129 |
| Prem K Samuel | Cardiac Surgery | Midwest Heart and Vascular Specialists LLC | 19550 E 39th St, Suite 105, Independence, MO 64057-1926 |
| Marco S Mazzella | Cardiovascular Disease (cardiology) | Midwest Heart and Vascular Specialists LLC | 17065 S Outer Rd, Belton Regional Medical Center, Belton, MO 64012-2165 |
| Justin Ross Van Meeteren | Thoracic Surgery | Midwest Heart and Vascular Specialists LLC | 2340 E Meyer 2, Suite 382, Kansas City, MO 64132-1129 |
| Casey Jean Cope | Nurse Practitioner | Midwest Heart and Vascular Specialists LLC | 2330 E Meyer Blvd, Suite 509, Kansas City, MO 64132-1143 |
| Ujjaval M Patel | Interventional Cardiology | Midwest Heart and Vascular Specialists LLC | 1000 Carondelet Dr, Kansas City, MO 64114-4673 |
| Thomas F Baldwin | Cardiovascular Disease (cardiology) | Midwest Heart and Vascular Specialists LLC | 12200 W 106th St, Suite 320, Overland Park, KS 66215-2305 |
| Catherine T Cheshire | Nurse Practitioner | Midwest Heart and Vascular Specialists LLC | 12200 W 106th St, Suite 320, Overland Park, KS 66215-2305 |
| Cesar D Rios | Cardiovascular Disease (cardiology) | Midwest Heart and Vascular Specialists LLC | 5701 W 119th St, Overland Park, KS 66209-3721 |
| Street Address |
12200 W 106TH ST SUITE 320 |
| City | OVERLAND PARK |
| State | KS |
| Zip | 66215-2305 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam J Kaye | General Surgery | Overland Park Orthopedics LLC | 12200 W 106th St, Suite 400, Overland Park, KS 66215-2305 |
| Daniel C Farrell | Orthopedic Surgery | Overland Park Orthopedics LLC | 12200 W 106th St, Suite 400, Overland Park, KS 66215-2305 |
| Thomas F Baldwin | Cardiovascular Disease (cardiology) | Midwest Heart and Vascular Specialists LLC | 12200 W 106th St, Suite 320, Overland Park, KS 66215-2305 |
| Tracy A Cowles | Obstetrics/gynecology | Obstetrics and Pediatrics Subspecialty Group of Kansas and Missouri Pa | 12200 W 106th St, Suite 110, Overland Park, KS 66215-2305 |
| Catherine T Cheshire | Nurse Practitioner | Midwest Heart and Vascular Specialists LLC | 12200 W 106th St, Suite 320, Overland Park, KS 66215-2305 |
| Alissa R Gould | Chiropractic | Op Core LLC | 12200 W 106th St, Suite 245, Overland Park, KS 66215-2366 |
| Brent E Finley | Obstetrics/gynecology | Obstetrics and Pediatrics Subspecialty Group of Kansas and Missouri Pa | 12200 W 106th St, Suite 110, Overland Park, KS 66215-2305 |
| Rachel M Miles | Physician Assistant | Overland Park Orthopedics LLC | 12200 W 106th St, Suite 400, Overland Park, KS 66215-2305 |
| Don R Fishman | General Surgery | Overland Park Orthopedics LLC | 12200 W 106th St, Suite 400, Overland Park, KS 66215-2305 |
| Meghan A Nichols | Obstetrics/gynecology | Kansas City Obgyn Pa | 12200 W 106th St, Suite 230, Overland Park, KS 66215-2305 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ezenwa Kevin Osuala | Nurse Practitioner | Joy E Cuezze Md LLC | 9701 Monrovia St, Lenexa, KS 66215-1564 |
| Eric M Deroo | Urology | Urologic Surgery Associates, Pa | 10550 Quivira Rd, Suite 105, Overland Park, KS 66215-2302 |
| Margaret A. Estrin | Obstetrics/gynecology | The Womens Healthcare Group Pa | 10550 Quivira Rd, Suite 410, Overland Park, KS 66215-2304 |
| Sarah L Darby | Certified Nurse Midwife | The Womens Healthcare Group Pa | 10550 Quivira Rd, Overland Park, KS 66215-2304 |
| Sarah Suzanne Yeamans | Certified Nurse Midwife | The Womens Healthcare Group Pa | 10550 Quivira Rd, Overland Park, KS 66215-2304 |
| Rakesh Gopinathannair | Cardiac Electrophysiology | Midwest Heart and Vascular Specialists LLC | 12200 W 106th St, Suite 320, Overland Park, KS 66215-2305 |
| Melissa Nicole Short | Physician Assistant | Overland Park Orthopedics LLC | 12200 W 106th St, Suite 400, Overland Park, KS 66215-2305 |
| Andrea R Hufford | General Surgery | Overland Park Orthopedics LLC | 12200 W 106th St, Suite 400, Overland Park, KS 66215-2305 |
| Joseph A Heit | Obstetrics/gynecology | Kansas City Obgyn Pa | 12200 W 106th St, Suite 230, Overland Park, KS 66215-2305 |
| Robert M Beatty | Neurosurgery | Overland Park Orthopedics LLC | 12200 W 106th St, Suite 400, Overland Park, KS 66215-2305 |
| Find all physicians in zip 66215 | |||
| City | OVERLAND PARK |
| Zip Code | 66215 |
| Specialty | CARDIAC ELECTROPHYSIOLOGY |
| City + Specialty | OVERLAND PARK + CARDIAC ELECTROPHYSIOLOGY |
Please comment or provide details below to improve the information on Peter H 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.