DR. DAVID J PARK M.D. NPI 1790780211

NPI Information

  • NPI: 1790780211
  • Provider Name: DR. DAVID J PARK, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 331 OLCOTT DR
    STE U3
    WHITE RIVER JUNCTION, VT
    ZIP 05001
  • Phone: (802) 295-6132

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NPI Details

DR. David J Park, M.D. is a family medicine in White River Junction, VT with 25 years of experience. 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. DR. David J Park, M.D. NPI is 1790780211. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year:2001

The provider's business location address is:

331 OLCOTT DR
STE U3
WHITE RIVER JUNCTION, VT
ZIP 05001-601
Phone: (802) 295-6132
Fax: (802) 295-1358

The NPI 1790780211 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, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Hemoglobin a1c level (HCPCS:83036)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Urinalysis, manual test (HCPCS:81002)

The enumeration date for this NPI number is 6/21/2005 and was last updated on 3/29/2021.

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 Medicine042-0010755VERMONTYes

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
11010649MEDICAIDVERMONT
28000079MEDICAIDVERMONT

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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