Dong Park (NPI# 1174794788, PAC ID# 3678645165) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1174794788 |
| PAC ID by PECOS | 3678645165 |
| Professional Enrollment ID | I20110318000369 |
| Full Name | Dong Park |
| Organization Legal Name | HARFORD NEUROLOGY ASSOCIATES PA |
| Address |
520 Upper Chesapeake Dr Suite 208 Bel Air MD 21014-4392 |
| Phone Number | 4436433335 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 0143240358 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210049 | UNIVERSITY OF MD UPPER CHESAPEAKE MEDICAL CENTER |
| 210006 | UNIVERSITY OF MD HARFORD MEMORIAL HOSPITAL |
| 210032 | UNION HOSPITAL OF CECIL COUNTY |
| 210063 | UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 520 Upper Chesapeake Dr, Suite 208, Bel Air, MD 21014-4392 | 4436433335 | HARFORD NEUROLOGY ASSOCIATES PA |
| 106 Bow St, Elkton, MD 21921-5544 | 4103984000 | UNION HOSPITAL OF CECIL COUNTY |
| Organization Legal Name | HARFORD NEUROLOGY ASSOCIATES PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rut D Dholakia | Neurology | Harford Neurology Associates Pa | 520 Upper Chesapeake Dr, Suite 208, Bel Air, MD 21014-4392 |
| Syed Shaukat | Neurology | Harford Neurology Associates Pa | 520 Upper Chesapeake Dr, Suite 208, Bel Air, MD 21014-4392 |
| Street Address |
520 UPPER CHESAPEAKE DR SUITE 208 |
| City | BEL AIR |
| State | MD |
| Zip | 21014-4392 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Porter Rodrigues | Otolaryngology | Centers for Advanced Ent Care LLC | 520 Upper Chesapeake Dr, Suite 206, Bel Air, MD 21014-4360 |
| Bradford H Houck Iii | Physician Assistant | Vascular Surgery Associates, LLC | 520 Upper Chesapeake Dr, Suite 306, Bel Air, MD 21014-4375 |
| Sudarshan Paudel | Cardiovascular Disease (cardiology) | Upper Chesapeake Cardiology, LLC | 520 Upper Chesapeake Dr, Suite 201, Bel Air, MD 21014-4360 |
| Charles D Stancliff | Podiatry | 520 Upper Chesapeake Dr, Bel Air, MD 21014-4339 | |
| Ashley E Fine | Nurse Practitioner | Centers for Advanced Ent Care LLC | 520 Upper Chesapeake Dr, Suite 206, Bel Air, MD 21014-4360 |
| Marcia A Smithson | Nurse Practitioner | Centers for Advanced Ent Care LLC | 520 Upper Chesapeake Dr, Suite 206, Bel Air, MD 21014-4360 |
| Lisa Elizabeth Thomas | Emergency Medicine | Upper Chesapeake Emergency Medicine Physicians LLC | 520 Upper Chesapeake Dr, Bel Air, MD 21014-4339 |
| Robert Dougherty | Physician Assistant | Vascular Surgery Associates, LLC | 520 Upper Chesapeake Dr, Suite 306, Bel Air, MD 21014-4375 |
| Christina Lauren Navin | Nurse Practitioner | Centers for Advanced Ent Care LLC | 520 Upper Chesapeake Dr, Suite 206, Bel Air, MD 21014-4360 |
| Stephen T Bartlett | Vascular Surgery | Vascular Surgery Associates, LLC | 520 Upper Chesapeake Dr, Suite 306, Bel Air, MD 21014-4375 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Werth | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 1401 Conowingo Rd, Suite C, Bel Air, MD 21014-1809 |
| Chelsea A Mitchell | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 1401 Conowingo Rd C, Bel Air, MD 21014-1809 |
| Sara Elizabeth Colasuonno | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 1401 Conowingo Rd, Suite C, Bel Air, MD 21014-1809 |
| Zachary Joseph Kaminski | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 1401 Conowingo Rd, Suite C, Bel Air, MD 21014-1809 |
| Logan Havel Buckley | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 1401 Conowingo Rd, Suite C, Bel Air, MD 21014-1809 |
| Brianna M Chaney | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 1401 Conowingo Rd, Suite C, Bel Air, MD 21014-1809 |
| William Young | Physical Therapy | Drayer Physical Therapy of Maryland LLC | 1401 Conowingo Rd, Suite C, Bel Air, MD 21014-1809 |
| Rachel Kendzejeski | Clinical Social Worker | Safe Harbor Behavioral Care LLC | 1705 Conowingo Rd, Bel Air, MD 21014-1815 |
| Dennis Kurgansky | Dermatology | 2 N Ave, Suite 100, Bel Air, MD 21014-2030 | |
| Shilpi Khosla | Internal Medicine | Harford Primary Care LLC | 2 N Ave, Suite 101, Bel Air, MD 21014-2303 |
| Find all physicians in zip 21014 | |||
| City | BEL AIR |
| Zip Code | 21014 |
| Specialty | NEUROLOGY |
| City + Specialty | BEL AIR + NEUROLOGY |
Please comment or provide details below to improve the information on Dong 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.