Jerry Park (NPI# 1245337153, PAC ID# 6608818901) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1245337153 |
| PAC ID by PECOS | 6608818901 |
| Professional Enrollment ID | I20050526000517 |
| Full Name | Jerry Park |
| Organization Legal Name | AMERICAN CURRENT CARE OF WASHINGTON, P.S. |
| Address |
9222 N Newport Hwy Suite 1 Spokane WA 99218-1235 |
| Phone Number | 5094674545 |
| Gender | M |
| Credential | DO |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8022356617 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 9222 N Newport Hwy, Suite 1, Spokane, WA 99218-1235 | 5094674545 | AMERICAN CURRENT CARE OF WASHINGTON, P.S. |
| Organization Legal Name | AMERICAN CURRENT CARE OF WASHINGTON, P.S. |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley Scott Appleton | General Surgery | American Current Care of Washington, P.s. | 15425 E Mission Ave, Spokane Valley, WA 99037-9505 |
| Stuart M Austin | Physician Assistant | American Current Care of Washington, P.s. | 3223 1st Ave S, Suite C, Seattle, WA 98134-1850 |
| Suezane L Holtzclaw | Internal Medicine | American Current Care of Washington, P.s. | 2624 S 38th St, Tacoma, WA 98409-7308 |
| Joshua B Kretchmar | Family Medicine | American Current Care of Washington, P.s. | 3850 S Meridian, Suite 10, Puyallup, WA 98373-3701 |
| Eduardo R Faytong | Physician Assistant | American Current Care of Washington, P.s. | 1300 S 320th St, Suite B, Federal Way, WA 98003-5359 |
| Michael C Charles | Nurse Practitioner | American Current Care of Washington, P.s. | 3928 Pacific Ave Se, Lacey, WA 98503-1109 |
| Garret G Decastro | Internal Medicine | American Current Care of Washington, P.s. | 140 4th Ave N, Suite 150, Seattle, WA 98109-4940 |
| Alexandr I Chatilo | Physical Medicine and Rehabilitation | American Current Care of Washington, P.s. | 4320 196th St Sw, Suite D, Lynnwood, WA 98036-6753 |
| Nathan K Scott | Physician Assistant | American Current Care of Washington, P.s. | 1925 140th Ave Ne, Bellevue, WA 98005-2303 |
| Arlene Ybarra | Physician Assistant | American Current Care of Washington, P.s. | 1300 S 320th St, Suite B, Federal Way, WA 98003-5359 |
| Street Address |
9222 N NEWPORT HWY SUITE 1 |
| City | SPOKANE |
| State | WA |
| Zip | 99218-1235 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerrel R Lochner | Internal Medicine | 9631 N Nevada St, Suite 300, Spokane, WA 99218-1133 | |
| Taylor Linn Jump | Physical Therapy | Spokane Sports and Physical Therapy, Ps | 9631 N Nevada St, Ll2, Spokane, WA 99218-1134 |
| William M Stobie | Physical Therapy | Spokane Sports and Physical Therapy, Ps | 9631 N Nevada St, Ll2, Spokane, WA 99218-1134 |
| Craig L Stephens | Physical Therapy | Spokane Sports and Physical Therapy, Ps | 9631 N Nevada St, Ll2, Spokane, WA 99218-1134 |
| Jeanine N Stolp | Optometry | Grant W. Hardan Od Pllc | 9671 N Nevada St, Suite 210, Spokane, WA 99218-1146 |
| Grant W Hardan | Optometry | Grant W. Hardan Od Pllc | 9671 N Nevada St, Suite 210, Spokane, WA 99218-1146 |
| Gene O Teigen | Optometry | 9671 N Nevada St, Suite 210, Spokane, WA 99218-1146 | |
| Selina M Ross | Nurse Practitioner | Spokane Family Medicine Pllc | 9631 N Nevada St, Suite 205, Spokane, WA 99218-1193 |
| Danyel Kathleen Kush | Nurse Practitioner | Providence Health and Services Washington | 9631 N Nevada St, Suite 300, Spokane, WA 99218-1193 |
| Suzanna L Smith | Nurse Practitioner | Spokane Family Medicine Pllc | 9631 N Nevada St, Suite 205, Spokane, WA 99218-1193 |
| Find all physicians in zip 99218 | |||
| City | SPOKANE |
| Zip Code | 99218 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SPOKANE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jerry 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.