MEDICARE: DR. INGRID PARK MDCM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1952591638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. INGRID PARK MDCM

Provider Business Mailing Address
First Line	:	2085 CORNELL RD
Second Line	:	211
City	:	CLEVELAND
State	:	OH
Zip	:	44106-3858
Country	:	US
Telephone Number	:	216-394-7585
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44115-1603
Country	:	US
Telephone Number	:	216-844-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2007
Last Update Date	:	07/27/2007

Similar Medicare Providers

1952675530 — CARLA MONIQUE DICKSON
Practice Location Address:

3433 E 51ST ST
CLEVELAND, OH
44127-1603

Practice Phone: 216-571-1632
Practice Fax:

1124975172 — FIRST FOR FAMILIES HOMECARE LLC
Practice Location Address:

3433 E 51ST ST
CLEVELAND, OH
44127-1603

Practice Phone: 216-571-1632
Practice Fax:

1730626136 — CHRISTINA LOPEZ LMSW
Practice Location Address:

514 CLEVELAND AVE
BRIDGEPORT, CT
06604-1603

Practice Phone: 203-583-6999
Practice Fax:

1417507864 — PATRICE PATRICIA SAMILTON LPN
Practice Location Address:

1109 E 66TH ST
CLEVELAND, OH
44103-1603

Practice Phone: 216-372-5538
Practice Fax:

1154191765 — INDYA MILLS
Practice Location Address:

18771 MONTEREY AVE
CLEVELAND, OH
44119-1603

Practice Phone: 216-306-9564
Practice Fax:

1376303271 — CALEB FRANCIS SOLIVIO MD
Practice Location Address:

CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24
CLEVELAND, OH
44195-1603

Practice Phone: 216-444-2200
Practice Fax:

Directions to “ DR. INGRID PARK MDCM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.