DR. JINWOOK PARK MD NPI 1275029084

NPI Information

NPI: 1275029084
Provider Name: DR. JINWOOK PARK, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
401 E CHESTNUT ST UNIT 690
LOUISVILLE, KY
ZIP 40202
Phone: (502) 588-4710
Get Directions

DR. Jinwook Park, MD is a nephrology internal medicine in Louisville, KY with 12 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Jinwook Park, MD NPI is 1275029084. 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:

401 E CHESTNUT ST UNIT 690
LOUISVILLE, KY
ZIP 40202-706
Phone: (502) 588-4710

The NPI 1275029084 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 7/4/2018 and was last updated on 10/31/2023.

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
1	207R00000X	Internal Medicine		57.245872	OHIO	No
2	207R00000X	Internal Medicine		57549	KENTUCKY	No
3	207RN0300X	Internal Medicine	Nephrology	MT224405	PENNSYLVANIA	No
4	207RN0300X	Internal Medicine	Nephrology	57549	KENTUCKY	Yes

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

NPI Synchronization or Removal

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