PAUL BEOMSOO PARK MD NPI 1407065477

NPI Information

  • NPI: 1407065477
  • Provider Name: PAUL BEOMSOO PARK, MD
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2800 BLUE RIDGE RD STE 300
    RALEIGH, NC
    ZIP 27607
  • Phone: (919) 784-7874

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NPI Details

Paul Beomsoo Park, MD is a surgery in Raleigh, NC with 19 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Paul Beomsoo Park, MD NPI is 1407065477. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduation Year:2007

The provider's business location address is:

2800 BLUE RIDGE RD STE 300
RALEIGH, NC
ZIP 27607
Phone: (919) 784-7874

The NPI 1407065477 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)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Removal or exploration of parathyroid glands (HCPCS:60500)
  • Removal of thymus gland through neck (HCPCS:60520)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal and reimplantation of parathyroid tissue (HCPCS:60512)
  • Removal of thyroid lobe on side of neck (HCPCS:60220)
  • Fine needle aspiration biopsy using ultrasound guidance, first growth (HCPCS:10005)

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/23/2024.

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 Taxonomy Specialization License Number License State Primary
1208600000XSurgery4301089909MICHIGANNo
2390200000XStudent in an Organized Health Care Education/Training Program4301089909MICHIGANNo
3208600000XSurgery2013-01206NORTH CAROLINAYes

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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