| Christopher William Park, MD | |
|
13280 Evening Creek Dr S, Suite 110, San Diego, CA 92128-4101 | |
| (858) 546-3800 | |
| Not Available |
| Full Name | Christopher William Park |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 23 Years |
| Location | 13280 Evening Creek Dr S, San Diego, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700863198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A89672 (California) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 2008025572 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Enloe Health | Chico, CA | Hospital |
| Saint Francis Hospital & Medical Center | Hartford, CT | Hospital |
| Southern Ohio Medical Center | Portsmouth, OH | Hospital |
| Johnson Memorial Hospital | Stafford springs, CT | Hospital |
| Oroville Hospital | Oroville, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trinity Health Of New England Provider Network Organization Inc | 0941113567 | 644 |
| Enloe Medical Center | 9739092388 | 330 |
| Somc Medical Care Foundation, Inc. | 9436061645 | 388 |
| Entity Name | Trinity Health of New England Provider Network Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher William Park, MD 3509 N 34th St, Phoenix, AZ 85018-5703 Ph: (573) 356-5886 | Christopher William Park, MD 13280 Evening Creek Dr S, Suite 110, San Diego, CA 92128-4101 Ph: (858) 546-3800 |
Kripa Anil Guram, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 |
Dr. Guilherme Moura Da Cunha, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 |
Dr. Lejla Aganovic, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 |
Dr. Zachary G. Rattner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 995 Gateway Center Way, Suite 207, San Diego, CA 92102 Phone: 619-263-9729 Fax: 619-263-9730 |
Dr. Soheil Niku, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12580 Carmel Creek Rd, #52, San Diego, CA 92130 Phone: 619-322-0341 Fax: 858-509-0341 |
Dr. Frank B. Hamlett, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 319 Laurel St, San Diego, CA 92101 Phone: 619-234-3918 Fax: 619-234-5342 |
Dr. Aaron Mathew Smith, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7910 Frost St, San Diego, CA 92123 Phone: 858-939-3600 |