Active NPI
Steven Earl Park, M.D
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 35065137P
- Practice address
- 10506 Montgomery Road
Suite 302
Cincinnati, OH 45242 - Phone
- (513) 865-5120
- Fax
- (513) 865-5121
- NPI assigned
- Jul 10, 2006
- Last updated
- Mar 25, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35065137P | OH | |
| Surgery Physician | 208600000X | 29550 | KY | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 35065137P | OH | Primary |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 29550 | KY |
Addresses
Primary practice location
10506 Montgomery Road
Suite 302
Cincinnati, OH 45242
Mailing address
10506 Montgomery Road
Suite 302
Cincinnati, OH 45242
Phone (513) 865-5120
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0932816 | Medicaid | OH | |
| 1820063 | Other | UNITED HEALTHCARE | |
| 64951494 | Medicaid | KY | |
| 000000005455 | Other | ANTHEM | |
| 8330 | Other | KY BCBS | |
| 200058030A | Medicaid | IN | |
| 310804060038 | Other | CARESOURCE | |
| 65137 | Other | CHOICE CARE/HUMANA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- University of Chicago, Pritzker School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 246-2400
10506 A Montgomery Rd
Montgomery, OH 45242-4402
375 Dixmyth Ave
Cincinnati, OH 45220-2475
379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35065137P | OH | MD | Surgery Physician |
| 29550 | KY | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth G, LLC | Current | Accepting new patients | |
| Trihealth G LLC | Surgery | Current | Accepting new patients |
| Trihealth H LLC | Surgery | Current | Accepting new patients |
| Bethesda Hospital Inc | Past | Accepting new patients | |
| Cardiovascular & Thoracic Surgeons, Inc. | Surgery | Past | Accepting new patients |
| Trihealth Physician Institute | Past | Accepting new patients |
Locations
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
4030 Smith Rd
Ste 300
Cincinnati, OH 45209
Phone (513) 221-2544
4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721
9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750
10506 Montgomery Rd
Ste 300
Montgomery, OH 45242
Phone (513) 865-5120
10506 Montgomery Rd
Ste 302
Montgomery, OH 45242
Phone (513) 793-5772
10525 Montgomery Rd
Montgomery, OH 45242
Phone (513) 745-9800
Interoperability endpoints
- https://api.platform.athenahealth.com/6293/brand/1/csg/1/fhir/r4
- spark32041@direct.trihealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba GE Family Wellness Center Pharmacy
- Community/Retail Pharmacy
- Cincinnati, OH
- NPI 1184023640
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
dba Cardiac, Vascular & Thoracic Surgeons, Inc.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Cincinnati, OH
- NPI 1548299431
-
dba GEROS Physician Extenders
- Nurse Practitioner
- Cincinnati, OH
- NPI 1922051697
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Cincinnati, OH
- NPI 1386849008
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
dba Good Samaritan Surgery Center West
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1457964041
-
dba Good Samaritan Endoscopy Center North
- General Acute Care Hospital
- Montgomery, OH
- NPI 1477166064
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
dba Good Samaritan Hospital - Evendale
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1740893320
-
dba Good Samaritan Hand Surgery Center
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1851904445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1457385817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10506 MONTGOMERY ROAD",
"address_2": "SUITE 302",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45242",
"telephone_number": "513-865-5120",
"fax_number": "513-865-5121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10506 MONTGOMERY ROAD",
"address_2": "SUITE 302",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45242",
"telephone_number": "513-865-5120",
"fax_number": "513-865-5121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "STEVEN",
"middle_name": "EARL",
"name_prefix": "Mr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35065137P",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KY",
"license": "29550",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "OH",
"license": "35065137P",
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "KY",
"license": "29550",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0932816",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1820063",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64951494",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000005455",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY BCBS",
"identifier": "8330",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200058030A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "310804060038",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHOICE CARE/HUMANA",
"identifier": "65137",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.