DAVID TAEGON PARK D.O. NPI 1275766453

NPI Information

  • NPI: 1275766453
  • Provider Name: DAVID TAEGON PARK, D.O.
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 E LANCASTER AVE
    SUITE 256 LANKENAU MOB EAST
    WYNNEWOOD, PA
    ZIP 19096
  • Phone: (484) 572-6300

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NPI Details

David Taegon Park, D.O. is a neurology psychiatry neurology in Wynnewood, PA with 16 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. David Taegon Park, D.O. NPI is 1275766453. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduation Year:2009

The provider's business location address is:

100 E LANCASTER AVE
SUITE 256 LANKENAU MOB EAST
WYNNEWOOD, PA
ZIP 19096-450
Phone: (484) 572-6300
Fax: (484) 572-6305

The NPI 1275766453 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Measurement of brain wave activity (eeg), awake and asleep (HCPCS:95819)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Measurement of brain wave activity (eeg), awake and drowsy (HCPCS:95816)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 9/3/2009 and was last updated on 10/22/2015.

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
12084N0400XPsychiatry & NeurologyNeurologyOS017068PENNSYLVANIAYes

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: 3/30/2025

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