Jae H Pak (NPI# 1740280551, PAC ID# 6305887985) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1740280551 |
| PAC ID by PECOS | 6305887985 |
| Professional Enrollment ID | I20050513000051 |
| Full Name | Jae H Pak |
| Organization Legal Name | JAE H PAK MD PC |
| Address |
2160 Fountain Dr Snellville GA 30078-7022 |
| Phone Number | 7709821111 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1991 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | GERIATRIC PSYCHIATRY |
| Group Practice PAC ID | 5698719904 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2160 Fountain Dr, Snellville, GA 30078-7022 | 7709821111 | JAE H PAK MD PC |
| Organization Legal Name | JAE H PAK MD PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jody L Amazon-leece | Nurse Practitioner | Jae H Pak Md PC | 2160 Fountain Dr, Snellville, GA 30078-7022 |
| Street Address |
2160 FOUNTAIN DR |
| City | SNELLVILLE |
| State | GA |
| Zip | 30078-7022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon Maria Saroka | Nurse Practitioner | Rg Wagner | 2160 Fountain Dr, D, Snellville, GA 30078-7022 |
| Kimberly Rose Schiavoni | Nurse Practitioner | Rg Wagner | 2160 Fountain Dr, D, Snellville, GA 30078-7022 |
| Jody L Amazon-leece | Nurse Practitioner | Jae H Pak Md PC | 2160 Fountain Dr, Snellville, GA 30078-7022 |
| Jamison Daniels | Physician Assistant | Eastside Behavioral Health Associates LLC | 2160 Fountain Dr, Snellville, GA 30078-7022 |
| Abdullah K Almehbash | Emergency Medicine | Maroon Bells Emergency Physicians LLC | 2160 Fountain Dr, Snellville, GA 30078-7022 |
| Russell G Wagner | Internal Medicine | Rg Wagner | 2160 Fountain Dr, D, Snellville, GA 30078-7022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Ann Mire | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Ramanjaneyulu V Dronavalli | Internal Medicine | 2138 Scenic N Hwy A, Snellville, GA 30078 | |
| Jody Meek | Anesthesiology Assistant | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Brittany E Bradley | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Keith Alan Housman | Anesthesiology | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Thien D Quach | Anesthesiology | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Benjamin Lee Hicks | Anesthesiology Assistant | Premier Anesthesia of Georgia LLC | 1700 Medical Ctr Way, Snellville, GA 30078 |
| Geetha Jonnala | Rheumatology | 1567 Janmar Rd, Suite 100, Snellville, GA 30078-0308 | |
| Oyinkansola Akinmade | Physical Therapy | Caretherapy, LLC | 1567 Janmar Rd, Snellville, GA 30078-0309 |
| Allison L Guisasola | Occupational Therapy | Caretherapy, LLC | 1567 Janmar Rd, Snellville, GA 30078-0309 |
| Find all physicians in zip 30078 | |||
| City | SNELLVILLE |
| Zip Code | 30078 |
| Specialty | PSYCHIATRY |
| City + Specialty | SNELLVILLE + PSYCHIATRY |
Please comment or provide details below to improve the information on Jae H Pak.
| 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.