THOMAS PARK M.D. PC NPI 1881904605

NPI Information

  • NPI: 1881904605
  • Provider Name: THOMAS PARK M.D. PC
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • Address: 23077 GREENFIELD RD
    SUITE 257
    SOUTHFIELD, MI
    ZIP 48075
  • Phone: (248) 552-0044

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NPI Details

THOMAS PARK M.D. PC is a preferred provider organization in Southfield, MI. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. THOMAS PARK M.D. PC NPI is 1881904605. The provider is registered as an organization entity type.

The provider's business location address is:

23077 GREENFIELD RD
SUITE 257
SOUTHFIELD, MI
ZIP 48075-709
Phone: (248) 552-0044
Fax: (248) 423-7777

The provider's authorized official is Thomas T Park .
The authorized official title is President and has the following contact phone number (248) 552-0044.

The enumeration date for this NPI number is 10/14/2010 and was last updated on 10/14/2010.

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
1305R00000XPreferred Provider Organization4301040933MICHIGANYes

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
1B42982MEDICARE UPINMICHIGAN

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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