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JAE YOON PARK MD NPI 1962798397


NPI Information

NPI: 1962798397
Provider Name: JAE YOON PARK, MD
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

PECOS Registration: Yes

Address:
4729 E CAMP LOWELL DR
TUCSON, AZ
ZIP 85712
Phone: (520) 838-3540
Get Directions

Jae Yoon Park, MD is an interventional cardiology internal medicine in Tucson, AZ with 13 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Jae Yoon Park, MD NPI is 1962798397. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

4729 E CAMP LOWELL DR
TUCSON, AZ
ZIP 85712-256
Phone: (520) 838-3540
Fax: (520) 318-0104

The NPI 1962798397 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Insertion of catheter for diagnostic evaluation of right heart structures (HCPCS:93451)

The enumeration date for this NPI number is 6/23/2011 and was last updated on 10/11/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0011XInternal MedicineInterventional CardiologyT292227MASSACHUSETTSNo
2207R00000XInternal Medicine55416MINNESOTANo
3207RC0000XInternal MedicineCardiovascular Disease55416MINNESOTANo
4207RI0011XInternal MedicineInterventional Cardiology69610ARIZONAYes
5207RC0000XInternal MedicineCardiovascular DiseaseT292227MASSACHUSETTSNo

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: 4/28/2024

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.