| Soon John Park, MD | |
|
319 S Manning Blvd Ste 110a, Albany, NY 12208-1743 | |
| (518) 525-2525 | |
| Not Available |
| Full Name | Soon John Park |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 38 Years |
| Location | 319 S Manning Blvd Ste 110a, Albany, New York |
| 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 |
|---|---|---|---|
| 1891716544 | NPI | - | NPPES |
| 609723500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 294105 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ellis Hospital | Schenectady, NY | Hospital |
| Albany Medical Center Hospital | Albany, NY | Hospital |
| St Peter's Hospital | Albany, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ellis Hospital | 5890607410 | 214 |
| St. Peter's Health Partners Medical Associates, P.c. | 6103061189 | 413 |
| Entity Name | Ellis Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487644993 PECOS PAC ID: 5890607410 Enrollment ID: O20031103000406 |
| Entity Name | Rochester General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
| Entity Name | University Surgical Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376590117 PECOS PAC ID: 7315834165 Enrollment ID: O20040304000499 |
| Entity Name | Western New York Medical Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598 |
| Entity Name | St. Peter's Health Partners Medical Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626834 PECOS PAC ID: 6103061189 Enrollment ID: O20130321000567 |
| Mailing Address | Practice Location Address |
|---|---|
| Soon John Park, MD Po Box 14890, Albany, NY 12212-4890 Ph: () - | Soon John Park, MD 319 S Manning Blvd Ste 110a, Albany, NY 12208-1743 Ph: (518) 525-2525 |
Lewis W Britton, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 7 Southwoods Blvd, Capital Cardiology Associates, Pc Div Of Cardio Surgery, Albany, NY 12211 Phone: 518-292-6000 Fax: 518-641-6766 | |
Stephanie Elizabeth Helmer, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 319 S Manning Blvd Ste 110a, Albany, NY 12208 Phone: 518-525-2525 Fax: 518-525-2522 | |
Brian Nicholas Arnold, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 50 New Scotland Ave # Mc192, Albany, NY 12208 Phone: 518-262-5864 Fax: 518-262-9933 | |
Stuart J Miller, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 50 New Scotland Ave # Mc-192, Division Of Cardio-thoracic Surgery, Albany, NY 12208 Phone: 518-262-9777 Fax: 518-262-9778 | |
Ralph Clement Darling Iii, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 391 Myrtle Ave, Suite 5, The Vascular Group, Pllc, Albany, NY 12208 Phone: 518-262-5640 Fax: 518-262-9413 | |
Dennis J Rassias, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 317 S Manning Blvd, Suite 280, Albany, NY 12208 Phone: 518-454-0846 Fax: 518-454-0849 | |
Edward V Bennett Jr., MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 50 New Scotland Ave # Mc192, Albany, NY 12208 Phone: 518-262-9777 Fax: 518-262-9778 |