Tae Soon Park (NPI# 1528226263, PAC ID# 8921271024) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1528226263 |
| PAC ID by PECOS | 8921271024 |
| Professional Enrollment ID | I20111107000305 |
| Full Name | Tae Soon Park |
| Organization Legal Name | METROLIANCE FOOT AND ANKLE GROUP |
| Address |
2950 Northup Way Suite 115 Bellevue WA 98004-1406 |
| Phone Number | 4258938100 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 5698084564 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2950 Northup Way, Suite 115, Bellevue, WA 98004-1406 | 4258938100 | METROLIANCE FOOT AND ANKLE GROUP |
| Organization Legal Name | METROLIANCE FOOT AND ANKLE GROUP |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glen A Curda | Podiatry | Metroliance Foot and Ankle Group | 2950 Northup Way, Suite 115, Bellevue, WA 98004-1406 |
| Street Address |
2950 NORTHUP WAY SUITE 115 |
| City | BELLEVUE |
| State | WA |
| Zip | 98004-1406 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy S Donlan | Internal Medicine | 2950 Northup Way, Suite 210, Bellevue, WA 98004-1406 | |
| Glen A Curda | Podiatry | Metroliance Foot and Ankle Group | 2950 Northup Way, Suite 115, Bellevue, WA 98004-1406 |
| Meredith M Sargent | Clinical Psychologist | 2950 Northup Way, Suite 204, Bellevue, WA 98004-1406 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sang H Suh | Psychiatry | 2820 Northup Way, Suite 105, Bellevue, WA 98004-1419 | |
| Tessa A Plana | Optometry | Pacific Cataract and Laser Institute Inc PC | 2606 116th Ave Ne, Suite 100, Bellevue, WA 98004-1422 |
| Jeffrey Walter Mattson | Optometry | Pacific Cataract and Laser Institute Inc PC | 2606 116th Ave Ne, Suite 100, Bellevue, WA 98004-1422 |
| Brian Carey | Ophthalmology | Pacific Cataract and Laser Institute Inc PC | 2606 116th Ave Ne, Suite 100, Bellevue, WA 98004-1422 |
| Michelle S Blumenzweig | Clinical Social Worker | 2820 Northup Way, Suite 105, Bellevue, WA 98004-1438 | |
| Santosh A Agnani | Psychiatry | 2820 Northup Way, Suite 105, Bellevue, WA 98004-1438 | |
| Brock B Weedman | Psychologist, Clinical | 2820 Northup Way, Suite 105, Bellevue, WA 98004-1438 | |
| Sig H Weedman | Psychologist, Clinical | 2820 Northup Way, Suite 105, Bellevue, WA 98004-1438 | |
| David S Goodman | Interventional Pain Management | 2820 Northup Way, Suite 200, Bellevue, WA 98004-1498 | |
| Terry S Oneil | Psychologist, Clinical | 1800 112th Ave Ne, 322e, Bellevue, WA 98004-2938 | |
| Find all physicians in zip 98004 | |||
| City | BELLEVUE |
| Zip Code | 98004 |
| Specialty | PODIATRY |
| City + Specialty | BELLEVUE + PODIATRY |
Please comment or provide details below to improve the information on Tae Soon 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.