Clinton Sangkyu Park (NPI# 1295932242, PAC ID# 4789734641) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1295932242 |
| PAC ID by PECOS | 4789734641 |
| Professional Enrollment ID | I20090615000607 |
| Full Name | Clinton Sangkyu Park |
| Organization Legal Name | TEXAS ONCOLOGY PA |
| Address |
1450 8th Ave Fort Worth TX 76104-4110 |
| Phone Number | 8179237393 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 5395658934 |
| Number of Group Practice Members | 666 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450135 | TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH |
| Address | Phone | Organization |
|---|---|---|
| 1450 8th Ave, Fort Worth, TX 76104-4110 | 8179237393 | TEXAS ONCOLOGY PA |
| Organization Legal Name | TEXAS ONCOLOGY PA |
| Physicians | 695 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna M Priebe | Gynecological Oncology | Texas Oncology Pa | 1400 N 4th St, Longview, TX 75601-4756 |
| Naveed R. Cheema | Internal Medicine | Texas Oncology Pa | 4700 N Galloway Ave, Mesquite, TX 75150-1516 |
| Chandana Kakani | Hematology/oncology | Texas Oncology Pa | 4352 N Josey Ln, Carrollton, TX 75010-4602 |
| Heather Scott Pulaski | Gynecological Oncology | Texas Oncology Pa | 18955 N Memorial Dr, Suite 430, Humble, TX 77338-4264 |
| Leslie Nicole Gutierrez | Nurse Practitioner | Texas Oncology Pa | 925 Gessner Rd, Suite 310, Houston, TX 77024-2546 |
| Azmina Patel | Internal Medicine | Texas Oncology Pa | 5012 Us Hwy 75, Suite 170, Denison, TX 75020-4593 |
| Leighanna Ounanian | Nurse Practitioner | Texas Oncology Pa | 1631 Lancaster Dr, Suite 150, Grapevine, TX 76051-3586 |
| Ananth Kumar Arjunan | Internal Medicine | Texas Oncology Pa | 7848 Gateway Blvd E, El Paso, TX 79915-1815 |
| Nikita Mukesh Shah | General Surgery | Texas Oncology Pa | 501 W Medical Ctr Blvd, Webster, TX 77598-4219 |
| Charles Vincent Kurkul | Internal Medicine | Texas Oncology Pa | 3720 S I 35, Denton, TX 76210-6857 |
| Street Address |
1450 8TH AVE |
| City | FORT WORTH |
| State | TX |
| Zip | 76104-4110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mario Garcia Gonzalez | Physician Assistant | Acclaim Physician Group Inc | 1450 8th Ave, Fort Worth, TX 76104-4110 |
| Kathleen Louise Shide | Radiation Oncology | Texas Oncology Pa | 1450 8th Ave, Fort Worth, TX 76104-4110 |
| Hoang Dinh | Physician Assistant | Acclaim Physician Group Inc | 1450 8th Ave, Fort Worth, TX 76104-4110 |
| Ashley Kaye Hall | Physician Assistant | Acclaim Physician Group Inc | 1450 8th Ave, Fort Worth, TX 76104-4110 |
| Neha Jain Gill | Physician Assistant | Texas Oncology Pa | 1450 8th Ave, Fort Worth, TX 76104-4110 |
| Mark Durant Davis | Physician Assistant | Texas Oncology Pa | 1450 8th Ave, Fort Worth, TX 76104-4110 |
| Antonia Reese Pryor | Nurse Practitioner | Texas Oncology Pa | 1450 8th Ave, Fort Worth, TX 76104-4110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven E Prouty | Psychologist, Clinical | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Ginna K Kaplan | Clinical Social Worker | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Prashanthi J Giridhar | Ophthalmology | Pediatric Eye Specialists LLP | 321 S Henderson St, Fort Worth, TX 76104-1016 |
| Bowlva Michael Lee | Pain Management | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Travis A Foster | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Joseph Elvis Guinn | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Bryan J Skulpoonkitti | Anesthesiology | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Jonathan D Riddle | Certified Registered Nurse Anesthetist (crna) | 412 S Henderson St, Fort Worth Vascular Surgical, Fort Worth, TX 76104-1017 | |
| Karim M Meghani | Physical Medicine and Rehabilitation | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Catherine A Colquitt | Infectious Disease | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Find all physicians in zip 76104 | |||
| City | FORT WORTH |
| Zip Code | 76104 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | FORT WORTH + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Clinton Sangkyu 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.