Yong I Park (NPI# 1154368819, PAC ID# 8921085580) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1154368819 |
| PAC ID by PECOS | 8921085580 |
| Professional Enrollment ID | I20040701000602 |
| Full Name | Yong I Park |
| Organization Legal Name | CHRISTIANA SPINE CENTER PA |
| Address |
105 Vineyard Way Suite 101 West Grove PA 19390-8849 |
| Phone Number | 3029969522 |
| Gender | M |
| Credential | MD |
| Medical School | UMDNJ-NEW JERSEY MEDICAL SCHOOL |
| Graduation Year | 1992 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | PAIN MANAGEMENT, PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 6305862848 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 080001 | CHRISTIANA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1101 Twin C Ln, Suite 202, Newark, DE 19713-2159 | 3026234144 | CHRISTIANA SPINE CENTER PA |
| 4735 Ogletown Stanton Rd, Suite 3302, Newark, DE 19713-2094 | 3026234144 | CHRISTIANA SPINE CENTER PA |
| 105 Vineyard Way, Suite 101, West Grove, PA 19390-8849 | 3029969522 | CHRISTIANA SPINE CENTER PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 98% | |
| ACI_EC_TRANS_EP_1 | e-Prescribing | 98% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 51% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 51% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | CHRISTIANA SPINE CENTER PA |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy Kim | Physical Medicine and Rehabilitation | Christiana Spine Center Pa | 4735 Ogletown Stanton Rd, Suite 3302, Newark, DE 19713-2094 |
| Amanda Jamieson | Nurse Practitioner | Christiana Spine Center Pa | 4735 Ogletown Stanton Rd, Suite 3302, Newark, DE 19713-2094 |
| Amanda E Magee | Physician Assistant | Christiana Spine Center Pa | 4735 Ogletown Stanton Rd, Suite 3302, Newark, DE 19713-2094 |
| Anthony R Cucuzzella | Physical Medicine and Rehabilitation | Christiana Spine Center Pa | 4735 Ogletown Stanton Rd, Suite 3302, Newark, DE 19713-2094 |
| Amanda M Farina | Nurse Practitioner | Christiana Spine Center Pa | 4735 Ogletown Stanton Rd, Suite 3302, Newark, DE 19713-2094 |
| Anton G Delport | Interventional Radiology | Christiana Spine Center Pa | 4735 Ogletown Stanton Rd, Suite 3302, Newark, DE 19713-2094 |
| Lauren E Beste Jones | Nurse Practitioner | Christiana Spine Center Pa | 4735 Ogletown Stanton Rd, Suite 3302, Newark, DE 19713-2094 |
| Elva G Delport | Physical Medicine and Rehabilitation | Christiana Spine Center Pa | 1101 Twin C Ln, Suite 202, Newark, DE 19713-2159 |
| Scott Roberts | Physical Medicine and Rehabilitation | Christiana Spine Center Pa | 4735 Ogletown Stanton Rd, Suite 3302, Newark, DE 19713-2094 |
| Ann Kim | Physical Medicine and Rehabilitation | Christiana Spine Center Pa | 4735 Ogletown Stanton Rd, Suite 3302, Newark, DE 19713-2094 |
| Street Address |
105 VINEYARD WAY SUITE 101 |
| City | WEST GROVE |
| State | PA |
| Zip | 19390-8849 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Angela Karakasis | Physical Therapy | Ati Holdings LLC | 105 Vineyard Way, Suite 100, West Grove, PA 19390-8849 |
| Leigh A Manning-smith | Physical Therapy | Ati Holdings LLC | 105 Vineyard Way, Suite 100, West Grove, PA 19390-8849 |
| Daniel Charles Farber | Orthopedic Surgery | University of Penn Medical Group | 105 Vineyard Way, 101 Penn Orthopaedics Southern Chester County, West Grove, PA 19390-8849 |
| Molly Mchale Dreher | Physical Therapy | Ati Holdings LLC | 105 Vineyard Way, Suite 100, West Grove, PA 19390-8849 |
| Jessica Amato | Physical Therapy | Ati Holdings LLC | 105 Vineyard Way, Suite 100, West Grove, PA 19390-8849 |
| Emily Mei-tyug Chow | Physical Therapy | Ati Holdings LLC | 105 Vineyard Way, Suite 100, West Grove, PA 19390-8849 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Hardic | Optometry | Eric R. Miller, Od, PC | 57 Jenners Village Ctr, West Grove, PA 19390-8102 |
| Michele M. Dorian | Optometry | Eric R. Miller, Od, PC | 57 Jenners Village Ctr, West Grove, PA 19390-8102 |
| Eric R Miller | Optometry | Eric R. Miller, Od, PC | 57 Jenners Village Ctr, West Grove, PA 19390-8102 |
| Barbara J Thomson | Optometry | Eric R. Miller, Od, PC | 57 Jenners Village Ctr, West Grove, PA 19390-8102 |
| Elizabeth Marie Cerva | Family Medicine | Jennersville Family Medicine LLC | 390 Vineyard Way, West Grove, PA 19390-8835 |
| Sharon Jarrett | Nurse Practitioner | Jennersville Family Medicine LLC | 390 Vineyard Way, West Grove, PA 19390-8835 |
| Jozef Marc Bobik | Podiatry | 129 State Rd, West Grove, PA 19390-8905 | |
| Dennis R Bobik | Podiatry | 129 State Rd, West Grove, PA 19390-8905 | |
| Lisa Klein | Diagnostic Radiology | University of Penn Medical Group | 455 Woodview Rd, Radiology Southern Chester County, West Grove, PA 19390-9147 |
| William J Barry | Diagnostic Radiology | University of Penn Medical Group | 455 Woodview Rd, Penn Medicine Radiology Southern Chester County, West Grove, PA 19390-9147 |
| Find all physicians in zip 19390 | |||
| City | WEST GROVE |
| Zip Code | 19390 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | WEST GROVE + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Yong I 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.