| Roger Timothy Park, DO | |
|
4088 Us-91, Hyde Park, UT 84318 | |
| (435) 563-4900 | |
| Not Available |
| Full Name | Roger Timothy Park |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 20 Years |
| Location | 4088 Us-91, Hyde Park, Utah |
| 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 |
|---|---|---|---|
| 1295713444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8647453-1204 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Logan Regional Hospital | Logan, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3531 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Timothy Park, DO 4088 Us-91, Hyde Park, UT 84318 Ph: (435) 563-4900 | Roger Timothy Park, DO 4088 Us-91, Hyde Park, UT 84318 Ph: (435) 563-4900 |
April Lee Larkin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4088 N Highway 91, Hyde Park, UT 84318 Phone: 435-563-4900 | |
Casey Mckay Green, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4088 N Highway 91, Hyde Park, UT 84318 Phone: 435-563-4888 Fax: 435-563-4832 | |
Jonathan Terry Jenkins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4088 N Highway 91, Hyde Park, UT 84318 Phone: 435-563-4888 | |
Michael Dalan Bishop, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4088 Us Hwy 91, Hyde Park, UT 84318 Phone: 435-563-4900 Fax: 435-563-4950 | |
Jason Harper, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4088 N Highway 91, Hyde Park, UT 84318 Phone: 435-563-4900 Fax: 435-563-4952 |