Sungnan Park Davis (NPI# 1932291432, PAC ID# 6608835475) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1932291432 |
PAC ID by PECOS | 6608835475 |
Professional Enrollment ID | I20041007000224 |
Full Name | Sungnan Park Davis |
Organization Legal Name | S PARK-DAVIS HEALTHCARE |
Address |
30880 Beck Rd Novi MI 48377-1000 |
Phone Number | 2489260009 |
Gender | F |
Credential | MD |
Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2000 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | PEDIATRIC MEDICINE |
Group Practice PAC ID | 6204126857 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
30880 Beck Rd, Novi, MI 48377-1000 | 2489260009 | S PARK-DAVIS HEALTHCARE |
Organization Legal Name | S PARK-DAVIS HEALTHCARE |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Heather Koza | Family Medicine | S Park-davis Healthcare | 30880 Beck Rd, Novi, MI 48377-1000 |
Street Address |
30880 BECK RD |
City | NOVI |
State | MI |
Zip | 48377-1000 |
Name | Specialty | Organization | Address |
---|---|---|---|
Heather Koza | Family Medicine | S Park-davis Healthcare | 30880 Beck Rd, Novi, MI 48377-1000 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ahmad Alabbas | Internal Medicine | 31208 Beck Rd, Suite A, Novi, MI 48377-1022 | |
Sheela Prem | Physical Therapy | 45023 W Pontiac Trl, Novi, MI 48377-1255 | |
Carole Ann Paveglio | Optometry | 45075 W Pontiac Trail, Novi, MI 48377-1257 | |
Alexandra Kay Hargenrader Williamson | Optometry | 42081 W 14 Mile Rd, Novi, MI 48377-1574 | |
Steven R Migdalewicz | Podiatry | 30750 Tanglewood Dr, Novi, MI 48377-1589 | |
Russell Diponio | Family Medicine | Behavioral Care Solutions for Adults and Seniors Inc | 39465 W 14 Mile Rd, Novi, MI 48377-1600 |
Cassandra E Wormack | Family Medicine | Behavioral Care Solutions for Adults and Seniors Inc | 39465 W 14 Mile Rd, Novi, MI 48377-1600 |
Carolyn C Helfman | Physician Assistant | Behavioral Care Solutions for Adults and Seniors Inc | 39465 W 14 Mile Rd, Novi, MI 48377-1600 |
Christine E Maxim | Nurse Practitioner | Behavioral Care Solutions for Adults and Seniors Inc | 39465 W 14 Mile Rd, Novi, MI 48377-1600 |
Josilyn Elise Goebel | Nurse Practitioner | Behavioral Care Solutions for Adults and Seniors Inc | 39465 W 14 Mile Rd, Novi, MI 48377-1600 |
Find all physicians in zip 48377 |
City | NOVI |
Zip Code | 48377 |
Specialty | INTERNAL MEDICINE |
City + Specialty | NOVI + INTERNAL MEDICINE |
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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.