CHAN HOON PARK MD NPI 1700092103

NPI Information

  • NPI: 1700092103
  • Provider Name: CHAN HOON PARK, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 905 VICTORY HWY
    SLATERSVILLE, RI
    ZIP 02876
  • Phone: (401) 762-2728

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NPI Details

Chan Hoon Park, MD is a family medicine in Slatersville, RI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Chan Hoon Park, MD NPI is 1700092103. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

905 VICTORY HWY
SLATERSVILLE, RI
ZIP 02876
Phone: (401) 762-2728
Fax: (401) 762-0473

The enumeration date for this NPI number is 5/15/2007 and was last updated on 2/26/2008.

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
1207Q00000XFamily MedicineMD 5083RHODE ISLANDYes

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
11260-1OTHERRHODE ISLANDBLUE CROSS BLUE SHIELD
2C89954MEDICARE UPINRHODE ISLAND
39001260MEDICAIDRHODE ISLAND
4001727OTHERRHODE ISLANDBLUE CHIP
50100118OTHERPUERTO RICOUNITED HEALTHCARE

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: 3/30/2025

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