Provider Type Icon

JAY Y PARK MD PC NPI 1558515494


NPI Information

NPI: 1558515494
Provider Name: JAY Y PARK MD, PC
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

Address:
360 S GARDEN WAY STE 230
EUGENE, OR
ZIP 97401
Phone: (541) 344-4168
Get Directions

JAY Y PARK MD, PC is a mohs-micrographic surgery dermatology in Eugene, OR. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. JAY Y PARK MD, PC NPI is 1558515494. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

360 S GARDEN WAY STE 230
EUGENE, OR
ZIP 97401-173
Phone: (541) 344-4168
Fax: (541) 743-2306

The provider's authorized official is Brandy D Jackson .
The authorized official title is Office Manager and has the following contact phone number (541) 344-4168.

The enumeration date for this NPI number is 11/5/2008 and was last updated on 7/2/2014.


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
1207ND0101XDermatologyMOHS-Micrographic SurgeryYes

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
1G39727MEDICARE UPINOREGON
2RRPTAN070010885MEDICARE PINOREGON
3R145641MEDICARE UPINOREGON
4R07WFBFRCMEDICARE PINOREGON

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.