NPI Details
DR. Kevin U Park, MD is an orthopaedic surgery in Fayetteville, GA with 17 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. DR. Kevin U Park, MD NPI is 1356579627. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2009
The provider's business location address is:
1265 HIGHWAY 54 W
SUITES 102 AND 308
FAYETTEVILLE, GA
ZIP 30214-548
Phone: (770) 460-1900
Fax: (770) 719-1214
The NPI 1356579627 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, 20-29 minutes (HCPCS:99213)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
- X-ray of upper spine, 2-3 views (HCPCS:72040)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Mri scan of lower spinal canal without contrast (HCPCS:72148)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Mri scan of upper spinal canal without contrast (HCPCS:72141)
- X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
- Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
- Fusion of spine in lower back (HCPCS:22612)
- Placement of stabilizing device to back of 1 spine bone in neck (HCPCS:22840)
- Spinal fusion (HCPCS:NAN02)
- Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)
The enumeration date for this NPI number is 6/25/2009 and was last updated on 8/11/2022.
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 |
| 1 | 207XS0117X | Orthopaedic Surgery | Orthopaedic Surgery of the Spine | 074050 | GEORGIA | No |
| 2 | 207X00000X | Orthopaedic Surgery | | 74050 | GEORGIA | Yes |
