Allen Park, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1800 W Charleston Blvd
Las Vegas, NV 89102-2329

Phone

(815) 325-1699

NPI assigned

Aug 11, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medtrans Behavioral Nevada Casal PLLCGroup PAC ID 7810259165, 57 clinicians

Daniel Taheri MD PCGroup PAC ID 8325142334, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: apark@medtransreno.adaptamed.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medtrans Behavioral Nevada Casal, PLLC

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1245781160
  Medicare reassignment Care Compare group NPD
• Daniel Taheri MD PC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1407992217
  Medicare reassignment Care Compare group
• Alliance Mental Health Specialists Suba Park Cheng PLLC

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1275988107
  Medicare reassignment
• Anywhere Clinic LLC

  dba Calm Clinic

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1316460850
  Medicare reassignment
• Sound Physicians Emergency Medicine of Nevada Bessler PLLC

  • Emergency Medicine Physician
  • Sparks, NV
  • NPI 1881151231
  Medicare reassignment
• Clark Schillinger Emergency Group, PC

  • Emergency Medicine Physician
  • Las Vegas, NV
  • NPI 1275021412

  Physician Assistant

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1548714181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W DAISY CIR",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604464972",
            "telephone_number": "815-325-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022329",
            "telephone_number": "815-325-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ALLEN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Parisi, M.D.
• Park Family Eyecare 2 (Eleven Optometry)
• Park Family Eyecare Inc.
• Park Psychiatry PLLC
• Julie S Park-Chang, O.D.
• Anne Park, FNP
• Bo Park, OTD
• Bu Soon Park
• Chan Jerome Park, MD, PHD
• Daniel Park, D.O.

• Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.

Verify at the official NPI Registry.