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KIRK JIHYON PAK M.D. PH.D. M.SC. NPI 1477812956


NPI Information

NPI: 1477812956
Provider Name: KIRK JIHYON PAK, M.D., PH.D., M.SC.
Classification: Hospitalist - 208M00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1104 E GRACE ST
RENSSELAER, IN
ZIP 47978
Phone: (219) 866-5141
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Kirk Jihyon Pak, M.D., PH.D., M.SC. is a hospitalist in Rensselaer, IN with 12 years of experience. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. Kirk Jihyon Pak, M.D., PH.D., M.SC. NPI is 1477812956. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: IRVINE CALIFORNIA COLLEGE OF MEDICINE
Graduation Year:2012

The provider's business location address is:

1104 E GRACE ST
RENSSELAER, IN
ZIP 47978
Phone: (219) 866-5141
Fax: (219) 866-3234

The NPI 1477812956 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/3/2012 and was last updated on 8/15/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine01076965AINDIANANo
2207R00000XInternal MedicineMD.207561LOUISIANANo
3208M00000XHospitalist01076965AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1300006000MEDICAIDINDIANA
2000001195932OTHERANTHEM
32196472MEDICAIDLOUISIANA
405809560MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.