Benjamin Ross Park, D.O.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

DR.0061359 Issued in CO

Practice address

22100 Bothell Everett Hwy
Bothell, WA 98021-8431

Phone

(208) 416-2932

NPI assigned

Jun 24, 2013

Last updated

Dec 4, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, TX, FL, CA, DE5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 5

Specialty

Diagnostic Radiology

Education

Michigan State University College of Osteopathic Medicine, 2013

Medicare assignment

May accept Medicare assignment

Group practices

South Florida Medical Imaging PAGroup PAC ID 7618869900, 40 clinicians

Texas Imaging Partners LLCGroup PAC ID 3971021353, 3 clinicians

Abercrombie Radiological Consultants IncGroup PAC ID 3072411834, 51 clinicians

Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians

CMSC LLCGroup PAC ID 5890602494, 92 clinicians

Shannon ClinicGroup PAC ID 0840103727, 550 clinicians

Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

Carilion Giles Community HospitalGroup PAC ID 3678670221, 223 clinicians

Carilion Tazewell Community HospitalGroup PAC ID 4183604259, 76 clinicians

Mercy Diagnostic Imaging PCGroup PAC ID 1153233283, 91 clinicians

Oroville HospitalGroup PAC ID 1254234339, 93 clinicians

Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

X-Ray Professional AssociationGroup PAC ID 3375539927, 62 clinicians

Tahoe Carson Radiology Loos Et Al LTDGroup PAC ID 6406832591, 34 clinicians

Radiology Medical Group of NapaGroup PAC ID 7113906397, 41 clinicians

Tennessee Valley Radiology LLCGroup PAC ID 9133105521, 42 clinicians

Acadiana Radiology GroupGroup PAC ID 1355403114, 50 clinicians

Winchester Radiologists PCGroup PAC ID 7113915281, 77 clinicians

Memorial Hospital of Converse CountyGroup PAC ID 2264340843, 77 clinicians

North Platte Nebraska Hospital CorporationGroup PAC ID 6507856697, 237 clinicians

Columbus Radiology Physicians LLCGroup PAC ID 3971863416, 56 clinicians

Jason L Hwang MD IncGroup PAC ID 6103171012, 50 clinicians

Eastern Radiological Associates PCGroup PAC ID 0345232732, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
• Centra Health - Lynchburg Gen Hospital Hospital, Lynchburg, VA, CCN 490021
• Columbus Regional Hospital Hospital, Columbus, IN, CCN 150112
• Carilion New River Valley Medical Center Hospital, Christiansburg, VA, CCN 490042
• Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles (60 of 143)

Locations (25 of 43)

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.

• Abercrombie Radiological Consultants Inc

  • Diagnostic Radiology Physician
  • Knoxville, TN
  • NPI 1942207154

  CO

  Medicare reassignment Care Compare group NPD
• Acadiana Radiology Group

  • Diagnostic Radiology Physician
  • Lafayette, LA
  • NPI 1649422726

  CO

  Medicare reassignment Care Compare group NPD
• Carilion Giles Community Hospital

  • Critical Access Hospital
  • Pearisburg, VA
  • NPI 1194718304

  CO

  Medicare reassignment Care Compare group NPD
• Carilion Medical Center

  • Multi-Specialty Clinic/Center
  • Roanoke, VA
  • NPI 1730123472

  CO

  Medicare reassignment Care Compare group NPD
• Carilion Tazewell Community Hospital

  • General Acute Care Hospital
  • Tazewell, VA
  • NPI 1427040328

  CO

  Medicare reassignment Care Compare group NPD
• Carolinas Physicians Network Inc

  dba Atrium Health Imaging Cleveland

  • Diagnostic Radiology Physician
  • Shelby, NC
  • NPI 1386426864

  CO

  Medicare reassignment Care Compare group NPD
• Centra Medical Group, LLC

  • Family Medicine Physician
  • Lynchburg, VA
  • NPI 1649228966

  CO

  Medicare reassignment Care Compare group NPD
• CMSC, LLC

  dba Great Falls Clinic Hospital

  • General Acute Care Hospital
  • Great Falls, MT
  • NPI 1639109978

  CO

  Medicare reassignment Care Compare group NPD
• Columbus Radiology Physicians LLC

  • Diagnostic Radiology Physician
  • Columbus, IN
  • NPI 1467964718

  CO

  Medicare reassignment Care Compare group NPD
• Eastern Radiological Associates PC

  dba Yellowstone Vein Center

  • Diagnostic Ultrasound Physician
  • Billings, MT
  • NPI 1639102171

  CO, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Jason L Hwang MD Inc

  • Diagnostic Radiology Physician
  • Sonora, CA
  • NPI 1811486616

  CO

  Medicare reassignment Care Compare group NPD
• Memorial Hospital of Converse County

  • General Practice Physician
  • Douglas, WY
  • NPI 1356496491

  CO

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carilion Medical Center

  dba Carilion Roanoke Memorial Hospital

  • General Acute Care Hospital
  • Roanoke, VA
  • NPI 1033102942
  Care Compare affiliation
• Carilion New River Valley Medical Center

  • General Acute Care Hospital
  • Christiansburg, VA
  • NPI 1376536573
  Care Compare affiliation
• Centra Health Inc

  • General Acute Care Hospital
  • Lynchburg, VA
  • NPI 1770693939
  Care Compare affiliation
• Centra Health Professional Services, LLC

  dba Centra Health Cardiothoracic Surgery

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lynchburg, VA
  • NPI 1407884448

  Hospital

  Care Compare affiliation
• Centra Health Professional Services, LLC

  dba The Pain Center

  • Pain Medicine (Anesthesiology) Physician
  • Lynchburg, VA
  • NPI 1811925852

  Hospital

  Care Compare affiliation
• Centra Health Professional Services, LLC

  dba The Wound Care Center

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Lynchburg, VA
  • NPI 1902834948

  Hospital

  Care Compare affiliation
• Centra Medical Group, LLC

  dba CMG Vascular Surgery

  • Vascular Surgery Physician
  • Lynchburg, VA
  • NPI 1144880782

  Hospital

  Care Compare affiliation
• Centra Medical Group, LLC

  dba Centra Medical Group Stroobants Cardiovascular Center

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lynchburg, VA
  • NPI 1184964124

  Hospital

  Care Compare affiliation
• Centra Medical Group, LLC

  dba Centra Lynchburg Hematology and Oncology

  • Hematology & Oncology Physician
  • Lynchburg, VA
  • NPI 1700293628

  Hospital

  Care Compare affiliation
• Columbus Regional Hospital

  • General Acute Care Hospital
  • Columbus, IN
  • NPI 1104998624
  Care Compare affiliation
• Concord Hospital-Laconia

  • General Acute Care Hospital
  • Laconia, NH
  • NPI 1053495234
  Care Compare affiliation
• Concord Hospital-Laconia

  dba Concord Hospital-Laconia Professional Billing Service

  • Family Medicine Physician
  • Laconia, NH
  • NPI 1053993741

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1770922676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 CARVED TER",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22100 BOTHELL EVERETT HWY",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218431",
            "telephone_number": "208-416-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "BENJAMIN",
        "middle_name": "ROSS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0102205720",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0061359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ludette Go Pamesa, LMP
• Lisa Dawn Pamintuan, CPT
• Pan Pacific Health PPLC (Pan Pacific Health)
• Raisa Pankovets, DC
• Holly Louise Pankratz, LMHC
• Debbie Park
• Jennifer Ann Park, RN
• Youl N/a Park, AC
• Lili Parman
• Michelle Segall Parnes, OT

• Diagnostic Radiology Physician in Bothell, WA
• Providers in Bothell, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.