Kevin Park (NPI# 1063441491, PAC ID# 8123159886) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1063441491 |
| PAC ID by PECOS | 8123159886 |
| Professional Enrollment ID | I20100624000931 |
| Full Name | Kevin Park |
| Organization Legal Name | MIDWEST COMMUNITY HEALTH ASSOCIATES, INC. |
| Address |
442 W High St Bryan OH 43506-1681 |
| Phone Number | 4196364517 |
| Gender | M |
| Medical School | TOLEDO MEDICAL COLLEGE |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0941114250 |
| Number of Group Practice Members | 56 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 361301 | COMMUNITY MEMORIAL HOSPITAL |
| 150021 | PARKVIEW REGIONAL MEDICAL CENTER |
| 360121 | COMMUNITY HOSPITALS AND WELLNESS CENTERS |
| 361327 | COMMUNITY HOSPITALS AND WELLNESS CENTERS |
| Address | Phone | Organization |
|---|---|---|
| 442 W High St, Bryan, OH 43506-1681 | 4196364517 | MIDWEST COMMUNITY HEALTH ASSOCIATES, INC. |
| 935 E Snyder Ave, Montpelier, OH 43543-1251 | 4194853106 | MIDWEST COMMUNITY HEALTH ASSOCIATES, INC. |
| Organization Legal Name | MIDWEST COMMUNITY HEALTH ASSOCIATES, INC. |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine M Barnett | Occupational Therapy | Midwest Community Health Associates, Inc. | 442 W High St, Bryan, OH 43506-1681 |
| Brian Patrick Bradbee | Nurse Practitioner | Midwest Community Health Associates, Inc. | 935 E Snyder Ave, Montpelier, OH 43543-1251 |
| Kenton J Kamp | Family Medicine | Midwest Community Health Associates, Inc. | 495 S Shoop Ave, Wauseon, OH 43567-1719 |
| Mary Beth Burton | Qualified Audiologist | Midwest Community Health Associates, Inc. | 442 W High St, Bryan, OH 43506-1681 |
| Thomas A. Losey | Family Medicine | Midwest Community Health Associates, Inc. | 442 W High St, Bryan, OH 43506-1681 |
| Lisa A Pool | Nurse Practitioner | Midwest Community Health Associates, Inc. | 442 W High St, Bryan, OH 43506-1681 |
| Anna Trubey | Nurse Practitioner | Midwest Community Health Associates, Inc. | 121 Westfield Dr, Archbold, OH 43502-1056 |
| Charity Rose Mott | Nurse Practitioner | Midwest Community Health Associates, Inc. | 121 Westfield Dr, Archbold, OH 43502-1056 |
| Damoder R Kesireddy | Cardiovascular Disease (cardiology) | Midwest Community Health Associates, Inc. | 442 W High St, Bryan, OH 43506-1681 |
| Susan K Murry | Nurse Practitioner | Midwest Community Health Associates, Inc. | 442 W High St, Bryan, OH 43506-1681 |
| Street Address |
442 W HIGH ST |
| City | BRYAN |
| State | OH |
| Zip | 43506-1681 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine M Barnett | Occupational Therapy | Midwest Community Health Associates, Inc. | 442 W High St, Bryan, OH 43506-1681 |
| Mary Beth Burton | Qualified Audiologist | Midwest Community Health Associates, Inc. | 442 W High St, Bryan, OH 43506-1681 |
| Thomas A. Losey | Family Medicine | Midwest Community Health Associates, Inc. | 442 W High St, Bryan, OH 43506-1681 |
| Lisa A Pool | Nurse Practitioner | Midwest Community Health Associates, Inc. | 442 W High St, Bryan, OH 43506-1681 |
| Damoder R Kesireddy | Cardiovascular Disease (cardiology) | Midwest Community Health Associates, Inc. | 442 W High St, Bryan, OH 43506-1681 |
| Susan K Murry | Nurse Practitioner | Midwest Community Health Associates, Inc. | 442 W High St, Bryan, OH 43506-1681 |
| Glen T Seaman | Family Medicine | Midwest Community Health Associates, Inc. | 442 W High St, Bryan, OH 43506-1681 |
| Jodi M Arnold | Physical Therapy | Midwest Community Health Associates, Inc. | 442 W High St, Bryan, OH 43506-1681 |
| Nitie Sroa | Podiatry | Midwest Community Health Associates, Inc. | 442 W High St, Bryan, OH 43506-1681 |
| Lawrence M Kennedy | Physical Medicine and Rehabilitation | Midwest Community Health Associates, Inc. | 442 W High St, Bryan, OH 43506-1681 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annemarie Adkins | Clinical Social Worker | Recovery Services of Northwest Ohio Inc | 200 Van Gundy Dr, Bryan, OH 43506-1153 |
| Bradley T Pittman | Maxillofacial Surgery | 201 Van Gundy Dr, Suite 1, Bryan, OH 43506-1179 | |
| Samuel R Pesin | Ophthalmology | Cei Physicians Psc, LLC | 201 Van Gundy Dr, Bldg B, Bryan, OH 43506-1179 |
| Judith Ann Guess | Psychologist, Clinical | 126 N Main St, Bryan, OH 43506-1316 | |
| Tara L Richmond | Optometry | Eyecare Services Inc | 1313 W High St, Bryan, OH 43506-1545 |
| Robert L Hill | Optometry | Eyecare Services Inc | 1313 W High St, Bryan, OH 43506-1545 |
| Andrea J Yahraus | Optometry | Eyecare Services Inc | 1313 W High St, Bryan, OH 43506-1545 |
| Keith A Woodard | Optometry | Eyecare Services Inc | 1313 W High St, Bryan, OH 43506-1545 |
| Brent Charles Hesselschwardt | Chiropractic | Fountain City Chiropractic and Rehabilitation, Inc | 1525 W High St, Bryan, OH 43506-1593 |
| Roger T Kucway | Radiation Oncology | Toledo Radiation Oncology, Inc | 524 W High St, Bryan, OH 43506-1618 |
| Find all physicians in zip 43506 | |||
| City | BRYAN |
| Zip Code | 43506 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BRYAN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kevin 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.