Frederick D Park (NPI# 1013113208, PAC ID# 4284874504) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1013113208 |
| PAC ID by PECOS | 4284874504 |
| Professional Enrollment ID | I20160906002318 |
| Full Name | Frederick D Park |
| Organization Legal Name | VALLEY MEDICAL GROUP-RENTON |
| Address |
4011 Talbot Rd S Suite 500 Renton WA 98055-5782 |
| Phone Number | 4256903488 |
| Gender | M |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 4183753965 |
| Number of Group Practice Members | 372 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500088 | VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4011 Talbot Rd S, Suite 500, Renton, WA 98055-5782 | 4256903488 | VALLEY MEDICAL GROUP-RENTON |
| Organization Legal Name | VALLEY MEDICAL GROUP-RENTON |
| Physicians | 382 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Padhma M Venkitapathy | Podiatry | Valley Medical Group-renton | 10555 Se Carr Rd, Bldg M, Renton, WA 98055-5820 |
| Zainab A Gaal-weber | Nurse Practitioner | Valley Medical Group-renton | 4033 Talbot Rd S, Suite 530, Renton, WA 98055-5700 |
| Olga Valieva Bishop | Obstetrics/gynecology | Valley Medical Group-renton | 1 E Main St, Suite 100, Auburn, WA 98002-4905 |
| Liane M Fernyhough | Nurse Practitioner | Valley Medical Group-renton | 24920 104th Ave Se, Kent, WA 98030-6443 |
| Kristen Drury | Physician Assistant | Valley Medical Group-renton | 26458 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038-8350 |
| Aaron T Fang | Internal Medicine | Valley Medical Group-renton | 16850 Se 272nd St, Covington, WA 98042-4931 |
| Joshua H Kachner | Internal Medicine | Valley Medical Group-renton | 27203 216th Ave Se, Suite D, Maple Valley, WA 98038-3274 |
| Hsiang-hwa Chen | Family Medicine | Valley Medical Group-renton | 14410 Se Petrovitsky Rd, Suite 104, Renton, WA 98058-8900 |
| Emily K A Turnbull | Nurse Practitioner | Valley Medical Group-renton | 521 2nd Pl N, 11 103, Kent, WA 98032-4537 |
| Emily Wingfield | Psychiatry | Valley Medical Group-renton | 4445 Talbot Rd S, Renton, WA 98055-6219 |
| Street Address |
4011 TALBOT RD S SUITE 500 |
| City | RENTON |
| State | WA |
| Zip | 98055-5782 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ting-wei Yang | Cardiovascular Disease (cardiology) | Valley Medical Group-renton | 4011 Talbot Rd S, Suite 500, Renton, WA 98055-5782 |
| Traci G Barthel | Hand Surgery | Proliance Surgeons, Inc., P.s. | 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5791 |
| Chad C Moloney | Physician Assistant | Proliance Surgeons, Inc., P.s. | 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5791 |
| Steven L Summerfield | Orthopedic Surgery | Proliance Surgeons, Inc., P.s. | 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5791 |
| Dominick R Toulouse | Internal Medicine | 4011 Talbot Rd S, Suite 440, Renton, WA 98055-5791 | |
| Zachary A. Bowman | Physician Assistant | Proliance Surgeons, Inc., P.s. | 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5791 |
| Melanie Hj Chong | Allergy/immunology | Valley Medical Group-renton | 4011 Talbot Rd S, Suite 500, Renton, WA 98055-5782 |
| Bethany A Mckinney | Nurse Practitioner | Valley Medical Group-renton | 4011 Talbot Rd S, Suite 500, Renton, WA 98055-5782 |
| Jason Hoyt Thompson | Orthopedic Surgery | Proliance Surgeons, Inc., P.s. | 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5791 |
| Erik J Novak | Orthopedic Surgery | Proliance Surgeons, Inc., P.s. | 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5791 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard B Miller | Family Medicine | 920 N 1st St, Renton, WA 98055-1759 | |
| Jeffrey S Petett | Chiropractic | 10622 Se Carr Rd A, Renton, WA 98055-5406 | |
| Kurt R Sherwood | Chiropractic | 16810 108th Ave Se, Renton, WA 98055-5413 | |
| Abigail Longner | Chiropractic | Sherwood Family Chiropractic, P.s. | 16810 108th Ave Se, Renton, WA 98055-5413 |
| Zainab A Gaal-weber | Nurse Practitioner | Valley Medical Group-renton | 4033 Talbot Rd S, Suite 530, Renton, WA 98055-5700 |
| Alison Louise Ryan | Nurse Practitioner | Valley Medical Group-renton | 4033 Talbot Rd S, Suite 470, Renton, WA 98055-5700 |
| Eric T Waterman | Otolaryngology | 4033 Talbot Rd S, Suite 230, Renton, WA 98055-5700 | |
| Ron Swensen | Gynecological Oncology | Valley Medical Group-renton | 4033 Talbot Rd S, Suite 530, Renton, WA 98055-5700 |
| Kristen M Oulton | Qualified Audiologist | Valley Medical Group-renton | 4033 Talbot Rd S, Suite 540, Renton, WA 98055-5700 |
| Michael K Hori | Internal Medicine | Valley Medical Group-renton | 4033 Talbot Rd S, Suite 570, Renton, WA 98055-5700 |
| Find all physicians in zip 98055 | |||
| City | RENTON |
| Zip Code | 98055 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | RENTON + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Frederick D 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.