Gerald Y Park (NPI# 1841241387, PAC ID# 6204892995) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1841241387 |
| PAC ID by PECOS | 6204892995 |
| Professional Enrollment ID | I20090219000114 |
| Full Name | Gerald Y Park |
| Organization Legal Name | KANSAS CITY UROLOGY CARE PA |
| Address |
10701 Nall Ave Suite 100 Overland Park KS 66211-1244 |
| Phone Number | 9133417985 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 1995 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 9032006853 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260096 | NORTH KANSAS CITY HOSPITAL |
| 260138 | ST LUKES HOSPITAL OF KANSAS CITY |
| 170182 | MENORAH MEDICAL CENTER |
| 260177 | NEW LIBERTY HOSPITAL DISTRICT |
| 170185 | SAINT LUKE'S SOUTH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 17525 Medical Ctr Pkwy, Independence, MO 64057-1824 | 8169943150 | KANSAS CITY UROLOGY CARE PA |
| 2800 Clay Edwards Dr, Kansas City, MO 64116-3220 | 8166912000 | KANSAS CITY UROLOGY CARE PA |
| 4321 Washington, Suite 5300, Kansas City, MO 64111-5931 | 8165311234 | KANSAS CITY UROLOGY CARE PA |
| 4401 Wornall Rd, Kansas City, MO 64111-3220 | 8169322000 | KANSAS CITY UROLOGY CARE PA |
| 301 Ne Mulberry, Suite 200, Lees Summit, MO 64086-6017 | 8165241007 | KANSAS CITY UROLOGY CARE PA |
| 2750 Clay Edwards Dr, Suite 500, North Kansas City, MO 64116-3258 | 8165241007 | KANSAS CITY UROLOGY CARE PA |
| 10701 Nall Ave, Suite 100, Overland Park, KS 66211-1244 | 9133417985 | KANSAS CITY UROLOGY CARE PA |
| Organization Legal Name | KANSAS CITY UROLOGY CARE PA |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abbie M O'brien | Physician Assistant | Kansas City Urology Care Pa | 301 Ne Mulberry, Suite 200, Lees Summit, MO 64086-6017 |
| James S Magera Jr. | Urology | Kansas City Urology Care Pa | 17525 Medical Ctr Pkwy, Independence, MO 64057-1824 |
| Jason W Anast | Urology | Kansas City Urology Care Pa | 20375 W 151st St, Suite 270, Olathe, KS 66061-5360 |
| Laura L Roy | Nurse Practitioner | Kansas City Urology Care Pa | 10701 Nall Ave, Suite 100, Overland Park, KS 66211-1244 |
| Allison O Serrano | Physician Assistant | Kansas City Urology Care Pa | 421 S Maple St, Garnett, KS 66032-1334 |
| Samuel Kuykendall | Urology | Kansas City Urology Care Pa | 301 Ne Mulberry, Suite 200, Lees Summit, MO 64086-6017 |
| Kent L Haggard | Urology | Kansas City Urology Care Pa | 10701 Nall Ave, Suite 100, Overland Park, KS 66211-1244 |
| Daris A King | Physician Assistant | Kansas City Urology Care Pa | 20375 W 151st St, Suite 270, Olathe, KS 66061-5360 |
| Christian A Hettinger | Urology | Kansas City Urology Care Pa | 301 Ne Mulberry, Suite 200, Lees Summit, MO 64086-6017 |
| Sarah M Eatherly | Physician Assistant | Kansas City Urology Care Pa | 10701 Nall Ave, Suite 100, Overland Park, KS 66211-1244 |
| Street Address |
10701 NALL AVE SUITE 100 |
| City | OVERLAND PARK |
| State | KS |
| Zip | 66211-1244 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Payne | Nurse Practitioner | Signature Medical Group of Kc Pa | 10701 Nall Ave, Suite 200, Overland Park, KS 66211-1358 |
| Anna L Short | Nurse Practitioner | Signature Medical Group of Kc Pa | 10701 Nall Ave, Suite 200, Overland Park, KS 66211-1358 |
| Kimberlee C Gnoinski | Physician Assistant | Signature Medical Group of Kc Pa | 10701 Nall Ave, Suite 200, Overland Park, KS 66211-1358 |
| Laura L Roy | Nurse Practitioner | Kansas City Urology Care Pa | 10701 Nall Ave, Suite 100, Overland Park, KS 66211-1244 |
| Barry L Kentopp | Physician Assistant | Signature Medical Group of Kc Pa | 10701 Nall Ave, Suite 200, Overland Park, KS 66211-1358 |
| Kent L Haggard | Urology | Kansas City Urology Care Pa | 10701 Nall Ave, Suite 100, Overland Park, KS 66211-1244 |
| David J Clymer | Orthopedic Surgery | Signature Medical Group of Kc Pa | 10701 Nall Ave, Suite 200, Overland Park, KS 66211-1358 |
| Sarah M Eatherly | Physician Assistant | Kansas City Urology Care Pa | 10701 Nall Ave, Suite 100, Overland Park, KS 66211-1244 |
| Melissa A Ceballos | Physician Assistant | Kansas City Urology Care Pa | 10701 Nall Ave, Suite 100, Overland Park, KS 66211-1244 |
| David Bock | Urology | Kansas City Urology Care Pa | 10701 Nall Ave, Suite 100, Overland Park, KS 66211-1244 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darrell P Miller | Clinical Social Worker | 8400 W 110th, 410 Comprehensive Counseling, Overland Park, KS 66211 | |
| Janice M Scott | Psychiatry | Fss Psychiatric, LLC | 10711 Barkley St, Overland Park, KS 66211-1161 |
| Elizabeth J Friedman | Pathology | Kansas University Physicians Inc | 10720 Nall Ave, Ku Hospital Indian Creek, Leawood, KS 66211-1206 |
| Fang Fan | Pathology | Kansas University Physicians Inc | 10720 Nall Ave, Ku Hospital Indian Creek, Leawood, KS 66211-1206 |
| Janet M Woodroof | Pathology | Kansas University Physicians Inc | 10720 Nall Ave, Ku Hospital Indian Creek, Leawood, KS 66211-1206 |
| Rashna Madan | Pathology | Kansas University Physicians Inc | 10720 Nall Ave, Ku Hospital Indian Creek, Leawood, KS 66211-1206 |
| Thomas A Franey | General Surgery | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Brian L Mccroskey | General Surgery | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Juan Carlos C Correa | Vascular Surgery | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Chelsey L Holden | Nurse Practitioner | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Find all physicians in zip 66211 | |||
| City | OVERLAND PARK |
| Zip Code | 66211 |
| Specialty | UROLOGY |
| City + Specialty | OVERLAND PARK + UROLOGY |
Please comment or provide details below to improve the information on Gerald Y 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.