| Dr Kevin U Park, MD | |
|
1265 Highway 54 W, Suites 102 And 308, Fayetteville, GA 30214-4548 | |
| (770) 460-1900 | |
| (770) 719-1214 |
| Full Name | Dr Kevin U Park |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 16 Years |
| Location | 1265 Highway 54 W, Fayetteville, Georgia |
| 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 |
|---|---|---|---|
| 1356579627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 074050 (Georgia) | Secondary |
| 207X00000X | Orthopaedic Surgery | 74050 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
| Piedmont Newnan Hospital, Inc | Newnan, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Orthopedics, Llc | 4385963172 | 170 |
| Entity Name | Orthoatlanta, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851937114 PECOS PAC ID: 3971406885 Enrollment ID: O20040129000005 |
| Entity Name | Piedmont Orthopedics, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114317062 PECOS PAC ID: 4385963172 Enrollment ID: O20150429000361 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin U Park, MD 900 Circle 75 Sepkwy 1700, Atlanta, GA 30339-3087 Ph: (770) 953-6929 | Dr Kevin U Park, MD 1265 Highway 54 W, Suites 102 And 308, Fayetteville, GA 30214-4548 Ph: (770) 460-1900 |
Charles A Slater, DO Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 1336 Highway 54 W Bldg 500, Fayetteville, GA 30214 Phone: 770-461-1238 | |
Dr. David A. Goodman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1336 Highway 54 W, Building 500, Fayetteville, GA 30214 Phone: 770-461-1238 Fax: 770-460-6610 | |
Charles Theodore Fryberger Iii, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W Ste 200, Fayetteville, GA 30214 Phone: 770-460-1900 Fax: 770-719-1214 | |
Dr. Michael R Swany, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 140 Trotters Rdg, Fayetteville, GA 30215 Phone: 678-817-7115 | |
Dr. Alan D Davis, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1265 Highway 54 W, Suite 102, Fayetteville, GA 30214 Phone: 770-460-1900 Fax: 770-714-1214 | |
Dr. Rahul Kant Goel, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W Ste 200, Fayetteville, GA 30214 Phone: 770-460-1900 Fax: 770-719-1214 |