JI EUN PARK MD MA NPI 1417344417

NPI Information

  • NPI: 1417344417
  • Provider Name: JI EUN PARK, MD, MA
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3601 S 6TH AVE
    TUCSON, AZ
    ZIP 85723
  • Phone: (520) 792-1450

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NPI Details

Ji Eun Park, MD, MA is an interventional cardiology internal medicine in Tucson, AZ. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Ji Eun Park, MD, MA NPI is 1417344417. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3601 S 6TH AVE
TUCSON, AZ
ZIP 85723-001
Phone: (520) 792-1450

The NPI 1417344417 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/17/2015 and was last updated on 7/1/2023.

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
1207R00000XInternal Medicine70403ARIZONANo
2207RC0000XInternal MedicineCardiovascular Disease70403ARIZONANo
3207RI0011XInternal MedicineInterventional Cardiology70403ARIZONAYes

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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