| Julie Park, MD | |
|
404 N Keene St, Women's And Children's Hospital, Columbia, MO 65201-6626 | |
| (573) 882-4438 | |
| (573) 884-9992 |
| Full Name | Julie Park |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 10 Years |
| Location | 404 N Keene St, Columbia, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568916625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2016022755 (Missouri) | Secondary |
| 2080P0205X | Pediatrics - Pediatric Endocrinology | MD197784 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ohsu Hospital And Clinics | Portland, OR | Hospital |
| Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Clinics Llc | 0244144004 | 635 |
| Entity Name | Legacy Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Entity Name | Legacy Emanuel Hospital & Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Park, MD 400 N Keene St, South Pavilion, Columbia, MO 65201-6626 Ph: (573) 882-4438 | Julie Park, MD 404 N Keene St, Women's And Children's Hospital, Columbia, MO 65201-6626 Ph: (573) 882-4438 |
Bailey M Clancy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Hospital Drive Pediatrics Dc058.00, Columbia, MO 65212 Phone: 573-882-4438 Fax: 573-884-9992 | |
Madison T Ortega, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr # 58.00, Columbia, MO 65212 Phone: 573-882-4438 Fax: 573-884-9992 | |
Daniela Cristina Bichianu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1021 Hitt St, Columbia, MO 65212 Phone: 573-219-3960 Fax: 573-219-3964 | |
Dr. Danielle Renee Keebaugh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1020 Hitt St, Columbia, MO 65212 Phone: 573-882-6544 Fax: 573-884-5179 | |
Nathan K Beckett, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 404 N Keene St, Columbia, MO 65201 Phone: 573-882-4438 Fax: 573-884-9992 | |
Abdul-azeez Abdullahi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-4438 Fax: 573-884-9992 | |
Melissa A Lawson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1020 Hitt St, Columbia, MO 65212 Phone: 573-882-6921 Fax: 573-882-1154 |