Matt J Park (NPI# 1336134113, PAC ID# 9335033364) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1336134113 |
| PAC ID by PECOS | 9335033364 |
| Professional Enrollment ID | I20040601000013 |
| Full Name | Matt J Park |
| Organization Legal Name | ADENA MEDICAL GROUP LLC |
| Address |
550 Mirabeau St Greenfield OH 45123-1617 |
| Phone Number | 9379819259 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2003 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1153456579 |
| Number of Group Practice Members | 290 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360159 | ADENA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 100 N Walnut St, Chillicothe, OH 45601-9031 | 7407794500 | ADENA MEDICAL GROUP LLC |
| 272 Hospital Rd, Chillicothe, OH 45601-9031 | 7407798575 | ADENA MEDICAL GROUP LLC |
| 550 Mirabeau St, Greenfield, OH 45123-1617 | 9379819259 | ADENA MEDICAL GROUP LLC |
| Organization Legal Name | ADENA MEDICAL GROUP LLC |
| Physicians | 302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Marie Songer | Nurse Practitioner | Adena Medical Group LLC | 4457 State Route 159, Chillicothe, OH 45601-8620 |
| Kristen R Kilbarger | Psychiatry | Adena Medical Group LLC | 455 Shawnee Ln, Chillicothe, OH 45601-4145 |
| Neely Wade | Obstetrics/gynecology | Adena Medical Group LLC | 272 Hospital Rd, Chillicothe, OH 45601-9031 |
| Brandy M Jordan | Nurse Practitioner | Adena Medical Group LLC | 1075 N Washington St, Greenfield, OH 45123-9780 |
| Emily Ellen Jackson | Nurse Practitioner | Adena Medical Group LLC | 160 Roberts Ln, Hillsboro, OH 45133-7615 |
| Cynthia Go | Otolaryngology | Adena Medical Group LLC | 4439 State Route 159 210, Chillicothe, OH 45601-8207 |
| Rebecca Pareja | Obstetrics/gynecology | Adena Medical Group LLC | 610 Blackwater Rd, Chillicothe, OH 45601-9003 |
| Caleb P Mcferren | Podiatry | Adena Medical Group LLC | 4437 State Route 159 G15, Chillicothe, OH 45601-7065 |
| Hope R Tolle | Nurse Practitioner | Adena Medical Group LLC | 308 Highland Ave C, Washington Court House, OH 43160-1993 |
| Larika D Moore | Nurse Practitioner | Adena Medical Group LLC | 1000 Veterans Dr, Jackson, OH 45640-9586 |
| Street Address |
550 MIRABEAU ST |
| City | GREENFIELD |
| State | OH |
| Zip | 45123-1617 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denise Elizabeth Rabold | Psychologist, Clinical | Adena Medical Group LLC | 550 Mirabeau St, Greenfield, OH 45123-1617 |
| Jason Basic | Certified Registered Nurse Anesthetist (crna) | Adena Medical Group LLC | 550 Mirabeau St, Greenfield, OH 45123-1617 |
| Melissa Flemming | Certified Registered Nurse Anesthetist (crna) | Adena Medical Group LLC | 550 Mirabeau St, Greenfield, OH 45123-1617 |
| Brian A Towler | Certified Registered Nurse Anesthetist (crna) | Adena Medical Group LLC | 550 Mirabeau St, Greenfield, OH 45123-1617 |
| Chase Alan Smith | Certified Registered Nurse Anesthetist (crna) | Adena Medical Group LLC | 550 Mirabeau St, Greenfield, OH 45123-1617 |
| Jessica R Lenegar | Certified Registered Nurse Anesthetist (crna) | Adena Medical Group LLC | 550 Mirabeau St, Greenfield, OH 45123-1617 |
| Genevieve Charlotte Bates | Internal Medicine | Adena Medical Group LLC | 550 Mirabeau St, Greenfield, OH 45123-1617 |
| Charles Jenkins | Nurse Practitioner | Adena Medical Group LLC | 550 Mirabeau St, Greenfield, OH 45123-1617 |
| Jerry D Smucker | Internal Medicine | Adena Medical Group LLC | 550 Mirabeau St, Greenfield, OH 45123-1617 |
| Wilbur Edward Sever | General Surgery | Adena Medical Group LLC | 550 Mirabeau St, Greenfield, OH 45123-1617 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Lynn Wertsbaugh | Optometry | 311 Jefferson St, Greenfield, OH 45123-1352 | |
| Brandon M Chester | Optometry | Chester Eye Center Inc | 349 Jefferson St, Greenfield, OH 45123-1352 |
| Eric M Borsini | Chiropractic | 309 Jefferson St, Greenfield, OH 45123-1352 | |
| Michael E Chester | Optometry | Chester Eye Center Inc | 349 Jefferson St, Greenfield, OH 45123-1352 |
| Christina J Deland-reeves | Family Medicine | Adena Medical Group LLC | 536 Mirabeau St, Greenfield, OH 45123-1457 |
| Aaron M Roberts | Sports Medicine | Adena Medical Group LLC | 536 Mirabeau St, Greenfield, OH 45123-1457 |
| Eric Liu | Sports Medicine | Adena Medical Group LLC | 536 Mirabeau St, Greenfield, OH 45123-1457 |
| Charley Allen Roman | Nurse Practitioner | 138 S Washington St, Greenfield, OH 45123-1469 | |
| Chowdry M Bashir | Internal Medicine | Adena Medical Group LLC | 550 Mirabeau St, Greenfield, OH 45123-1617 |
| Amanda A Fox | Nurse Practitioner | Adena Medical Group LLC | 550 Mirabeau St, Greenfield, OH 45123-1617 |
| Find all physicians in zip 45123 | |||
| City | GREENFIELD |
| Zip Code | 45123 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | GREENFIELD + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Matt J 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.