Daniel Sungwon Park (NPI# 1851314488, PAC ID# 3173577707) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1851314488 |
| PAC ID by PECOS | 3173577707 |
| Professional Enrollment ID | I20050308000197 |
| Full Name | Daniel Sungwon Park |
| Organization Legal Name | THURBER AND THURBER, DPM PC |
| Address |
1 Guthrie Square Robert Packer Hospital Sayre PA 18840-1699 |
| Phone Number | 5708886666 |
| Gender | M |
| Credential | DPM |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 4880648633 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330090 | ARNOT OGDEN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 668 Park Pl, Elmira, NY 14901-2033 | 6077344582 | THURBER AND THURBER, DPM PC |
| 3345 Chambers Rd, Suite 4, Horseheads, NY 14845-1401 | 6077398318 | THURBER AND THURBER, DPM PC |
| 1 Guthrie Square, Robert Packer Hospital, Sayre, PA 18840-1699 | 5708886666 | THURBER AND THURBER, DPM PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 100% | |
| MIPS_EC_127_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 72% |
| Organization Legal Name | THURBER AND THURBER, DPM PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cory David Kilpatrick | Podiatry | Thurber and Thurber, Dpm PC | 668 Park Pl, Elmira, NY 14901-2033 |
| Thomas James Thurber | Podiatry | Thurber and Thurber, Dpm PC | 3345 Chambers Rd, Suite 4, Horseheads, NY 14845-1401 |
| Charles Myers Thurber Ii | Podiatry | Thurber and Thurber, Dpm PC | 668 Park Pl, Elmira, NY 14901-2033 |
| Haekang Yang | Podiatry | Thurber and Thurber, Dpm PC | 3345 Chambers Rd, Suite 4, Horseheads, NY 14845-1401 |
| Street Address |
1 GUTHRIE SQUARE ROBERT PACKER HOSPITAL |
| City | SAYRE |
| State | PA |
| Zip | 18840-1699 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles R Mcgurk | Psychiatry | Robert Packer Hospital | Guthrie Square, Robert Packer Hosp, Sayre, PA 18840 |
| Jeffrey E Jacobson | Psychiatry | Robert Packer Hospital | Guthrie Square, Robert Packer Hosp, Sayre, PA 18840 |
| Michael D. Beredo | Certified Registered Nurse Anesthetist (crna) | Guthrie Medical Group PC | 317 W Lockhart St, Sayre, PA 18840-1618 |
| Melinda A Geiger | Certified Registered Nurse Anesthetist (crna) | Guthrie Medical Group PC | 317 W Lockhart St, Sayre, PA 18840-1618 |
| Lee A Witherow | Certified Registered Nurse Anesthetist (crna) | Guthrie Medical Group PC | 317 W Lockhart St, Sayre, PA 18840-1618 |
| Nitin Chopra | Anesthesiology | Guthrie Medical Group PC | 317 W Lockhart St, Sayre, PA 18840-1618 |
| Anne S Pamula | Family Medicine | Guthrie Medical Group PC | 317 W Lockhart St, Sayre, PA 18840-1618 |
| Ian P Snider | Family Medicine | Guthrie Medical Group PC | 317 W Lockhart St, Sayre, PA 18840-1618 |
| Daniel J Brown | Anesthesiology | Guthrie Medical Group PC | 317 W Lockhart St, Sayre, PA 18840-1618 |
| Jennifer L Hatch | Certified Registered Nurse Anesthetist (crna) | Guthrie Medical Group PC | 317 W Lockhart St, Sayre, PA 18840-1618 |
| Find all physicians in zip 18840 | |||
| City | SAYRE |
| Zip Code | 18840 |
| Specialty | PODIATRY |
| City + Specialty | SAYRE + PODIATRY |
Please comment or provide details below to improve the information on Daniel Sungwon 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.