JASON YOUNG PARK MD NPI 1154488062

NPI Information

NPI: 1154488062
Provider Name: JASON YOUNG PARK, MD
Classification: Pathology - 207ZP0102X
Entity Type: Individual

Specialization: Anatomic Pathology & Clinical Pathology

PECOS Registration: Yes

Address:
5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390
Phone: (214) 648-1620
Get Directions

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 NPI 1154488062 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

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
1	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	MT181938	PENNSYLVANIA	No
2	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	D66835	MARYLAND	No
3	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	N6561	TEXAS	Yes

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
1	418096800	MEDICAID	MARYLAND
2	162601YWB	MEDICARE PIN	MARYLAND

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: 11/14/2023

NPI Synchronization or Removal

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