ELEANOR PARK
NPI 1538852017
Physician Assistant in Fort Drum, NY

NPI Status: Active since May 31, 2023

Contact Information

11050 MT BELVEDERE BLVD
FORT DRUM, NY
ZIP 13602
Phone: (315) 772-2778

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  • Individual
  • Female
  • Physician Assistant

About ELEANOR PARK

This page provides the complete NPI Profile along with additional information for Eleanor Park, a primary care provider established in Fort Drum, New York with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1538852017 assigned on May 2023. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1538852017
Provider Name
ELEANOR PARK
Gender
Female
Entity Type
Individual
Location Address
11050 MT BELVEDERE BLVD FORT DRUM, NY 13602
Location Phone
(315) 772-2778
Mailing Address
11050 MT BELVEDERE BLVD FORT DRUM, NY 13602
Is Sole Proprietor?
No
Enumeration Date
05-31-2023
Last Update Date
07-16-2024
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A primary care provider (PCP) like Eleanor Park sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1538852017
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2568165402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 1 + 6 + 5 + 4 + 0 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1538852017 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MR. STEPHEN WILLIAM PLUMB LISW, LICSW, BCD

Social Worker

(Clinical)

11050 MT BELVEDERE BLVD
USA MEDDAC/CREDENTIALS
FORT DRUM, NY
ZIP 13602

(315) 772-4025

MR. GREGORY JOHN PATAKY APA-C

Physician Assistant

(Medical)

11050 MT BELVEDERE BLVD
USA MEDDAC ATTN: CREDENTIALS
FORT DRUM, NY
ZIP 13602

(315) 772-4025

MISS FILIPINAS RIGOROSO ALFELOR M.D.

Nuclear Medicine

(Nuclear Cardiology)

11050 MT BELVEDERE BLVD
USA MEDDAC ATTN: CREDENTIALS
FORT DRUM, NY
ZIP 13602

(315) 772-4025

MR. WAYNE MICHAEL JOHNSON PTA, CCI

Physical Therapy Assistant

11050 MT BELVEDERE BLVD
USA MEDDAC /CREDENTIALS
FORT DRUM, NY
ZIP 13602

(315) 772-4025

NANCY K. DOBIES RN

Registered Nurse

(Community Health)

11050 MT BELVEDERE BLVD
USA MEDDAC/CREDENTIALS
FT. DRUM, NY
ZIP 13602

(315) 772-1507

HAN YI WOO FNP

Clinical Nurse Specialist

(Family Health)

11050 MT BELVEDERE BLVD
USA MEDDAC
FORT DRUM, NY
ZIP 13602

(315) 772-6985

DR. HEATHER M BURKE

Psychologist

(Clinical)

11050 MT BELVEDERE BLVD
USA MBDACC
FORT DRUM, NY
ZIP 13602

(415) 577-7804

JANE W DINGMAN P.T.

Physical Therapist

11050 MT BELVEDERE BLVD
USA MEDDAC / CREDENTIALS
FORT DRUM, NY
ZIP 13602

(315) 772-6214

DR. ANDREW JEROME KOSMOWSKI MD

Emergency Medicine

11050 MT BELVEDERE BLVD
USA/MEDDAC/CREDENTIALS
FORT DRUM, NY
ZIP 13602

(315) 772-4025

ERIN L FAVRET PTA

Physical Therapy Assistant

11050 MT BELVEDERE BLVD
USA MEDDAC/CREDENTIALS
FORT DRUM, NY
ZIP 13602

(315) 772-4025

DR. DIONISIO ORTIZ III MD

Orthopaedic Surgery

11050 MT BELVEDERE BLVD
GUTHRIE AMBULATORY HEALTH CLINIC
FORT DRUM, NY
ZIP 13602

(347) 675-4834

MISS ROBIN ANNE OGLE RDN

Nutritionist

11050 MT BELVEDERE BLVD
FORT DRUM, NY
ZIP 13602

(315) 772-1257

TRAVIS ANDREW CORDIAL PSYD

Psychologist

(Clinical)

11050 MT BELVEDERE BLVD
FORT DRUM, NY
ZIP 13602

(315) 772-2778

KATHERINE RHEA AU.D.

Audiologist

11050 MT BELVEDERE BLVD
FORT DRUM, NY
ZIP 13602

(315) 774-6419

DR. KYLE JAY KLAHS DO

Orthopaedic Surgery

11050 MT BELVEDERE BLVD
FORT DRUM, NY
ZIP 13602

(315) 772-6091

DUSTEN GREEN DSW,LCSW, CASAC

Social Worker

11050 MT BELVEDERE BLVD
FORT DRUM, NY
ZIP 13602

(315) 772-2778

DR. STEVE CHUN M.D.

Preventive Medicine

(Public Health & General Preventive Medicine)

11050 MT BELVEDERE BLVD
FORT DRUM, NY
ZIP 13602

(315) 772-6976

DR. JASON ANDREW DICKENS MD, MBA, MPH

Preventive Medicine

(Occupational Medicine)

11050 MT BELVEDERE BLVD
FORT DRUM, NY
ZIP 13602

(315) 772-6214

AHMED OLASUNKANMI ASHIMI PA-C

Physician Assistant

11050 MT BELVEDERE BLVD
FORT DRUM, NY
ZIP 13602

(315) 772-2778

JOSCELYN EVA HODGE MD

Internal Medicine

11050 MT BELVEDERE BLVD
FORT DRUM, NY
ZIP 13602

(315) 772-2778

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538852017, enumerated as an "individual" on May 31, 2023.

The provider is located at 11050 MT BELVEDERE BLVD FORT DRUM, NY 13602 and the phone number is (315) 772-2778.

Physician Assistant with taxonomy code 363A00000X.