DR. SAE-YOON SHARON PARK MD NPI 1265927321

NPI Information

  • NPI: 1265927321
  • Provider Name: DR. SAE-YOON SHARON PARK, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3400 BOX HILL CORPORATE CENTER DR STE 100
    ABINGDON, MD
    ZIP 21009
  • Phone: (800) 777-7904

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NPI Details

DR. Sae-yoon Sharon Park, MD is a family medicine in Abingdon, MD with 10 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Sae-yoon Sharon Park, MD NPI is 1265927321. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:2016

The provider's business location address is:

3400 BOX HILL CORPORATE CENTER DR STE 100
ABINGDON, MD
ZIP 21009-290
Phone: (800) 777-7904

The NPI 1265927321 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 6/29/2018 and was last updated on 3/22/2022.

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
1207Q00000XFamily MedicineD92535MARYLANDYes

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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