ROSA PARK M.D. NPI 1295094811

NPI Information

NPI: 1295094811
Provider Name: ROSA PARK, M.D.
Classification: Urology - 208800000X
Entity Type: Individual
PECOS Registration: Yes
Address: 401 E CHESTNUT ST UNIT 520
LOUISVILLE, KY
ZIP 40202
Phone: (502) 588-4740

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NPI Details

Rosa Park, M.D. is an urology in Louisville, KY with 17 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Rosa Park, M.D. NPI is 1295094811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CITY UNIVERSITY OF NEW YORK SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

401 E CHESTNUT ST UNIT 520
LOUISVILLE, KY
ZIP 40202-713
Phone: (502) 588-4740

The NPI 1295094811 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 5/16/2012 and was last updated on 12/2/2024.

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	License Number	License State	Primary
1	208800000X	Urology	293766	NEW YORK	No
2	390200000X	Student in an Organized Health Care Education/Training Program		TENNESSEE	No
3	208800000X	Urology	60025	KENTUCKY	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	7100998520	MEDICAID	KENTUCKY

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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