JASON YOUNG PARK MD NPI 1154488062

NPI Information

  • NPI: 1154488062
  • Provider Name: JASON YOUNG PARK, MD
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Individual
  • Address: 5323 HARRY HINES BLVD
    DALLAS, TX
    ZIP 75390
  • Phone: (214) 648-1620

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NPI Details

Jason Young Park, MD is an anatomic pathology and clinical pathology pathology in Dallas, TX. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Jason Young Park, MD NPI is 1154488062. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390-201
Phone: (214) 648-1620
Fax: (214) 648-4080

The enumeration date for this NPI number is 1/2/2007 and was last updated on 2/11/2011.

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
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyMT181938PENNSYLVANIANo
2207ZP0102XPathologyAnatomic Pathology & Clinical PathologyD66835MARYLANDNo
3207ZP0102XPathologyAnatomic Pathology & Clinical PathologyN6561TEXASYes

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
1418096800MEDICAIDMARYLAND
2162601YWBMEDICARE PINMARYLAND

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: 11/21/2025

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