Daniel S Park, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N005567-1 Issued in NY

Practice address

668 Park PL
Elmira, NY 14901-2033

Phone

(607) 734-4582

Fax

(607) 734-4596

NPI assigned

Jul 25, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, NY2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thurber and Thurber, DPM PCGroup PAC ID 4880648633, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arnot Ogden Medical Center Hospital, Elmira, NY, CCN 330090
• Corning Hospital Hospital, Corning, NY, CCN 330277

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dpark@tatdpm.emadirect.md

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.

• Thurber & Thurber, DPM PC

  • Podiatrist
  • Elmira, NY
  • NPI 1730195223

  PA

  Medicare reassignment Care Compare group NPD
• Thurber & Thurber, DPM PC

  • Durable Medical Equipment & Medical Supplies
  • Horseheads, NY
  • NPI 1457426355

  Podiatrist

  NPD Authorized official

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

• Arnot Ogden Medical Center

  • General Acute Care Hospital
  • Elmira, NY
  • NPI 1083605661
  Care Compare affiliation
• Corning Hospital

  • General Acute Care Hospital
  • Corning, NY
  • NPI 1346241973
  Care Compare affiliation

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1851314488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 PARK PL",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012033",
            "telephone_number": "607-734-4582",
            "fax_number": "607-734-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 PARK PL",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012033",
            "telephone_number": "607-734-4582",
            "fax_number": "607-734-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "DANIEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005567-1",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC005555",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02082488",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim J Panosian, M.D.
• Tammy G. Pantle, PT
• Charles Anthony Paone, MA
• Theodore Papperman, PHD
• Colleen Pariso, RDH
• Cynthia Parker, LPN
• Keith W. Parker, MD
• Emma Paro
• Kayla Jo Parsons
• Mohammad Naeem Parvez, MD

• Podiatrist in Elmira, NY
• Providers in Elmira, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.