John I Park Md

LBN: Park Pain & Rehab Center Inc
John I Park Md is an health care organization with primary practice located at 109 Crossroads Road Suite 6, Scottdale PA 15683. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Park Pain & Rehab Center Inc can be contacted via phone (724) 887-7421, or through Park, John I via phone (724) 887-7421.

Contact Information

Primary practice address
109 Crossroads Road Suite 6 Scottdale PA 15683
Phone: (724) 887-7421
Fax: (724) 887-4145
Website:
Map and Directions
Authorized official contact:
Name: Park, John I Doctor of Medicine (MD)
Phone: (724) 887-7421

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD034892E Pennsylvania
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X MD034892E Pennsylvania
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X MD034892E Pennsylvania

Profile Details

NPI number 1790841674
LBN Legal business name Park Pain & Rehab Center Inc
DBA Doing business as John I Park Md
Authorized official Park, John I Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790841674 NPPES
Other 197526 HIGHMARK
MEDICAID 0011173760007 HIGHMARK

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