NPI Details
DR. Michael Chankwon Park, M.D., PH.D. is a neurological surgery in Minneapolis, MN with 23 years of experience. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. DR. Michael Chankwon Park, M.D., PH.D. NPI is 1942427117. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:2002
The provider's business location address is:
516 DELAWARE ST SE
CLINIC 1A
MINNEAPOLIS, MN
ZIP 55455-356
Phone: (612) 624-6666
Fax: (612) 624-0644
The NPI 1942427117 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.
- Insertion of brain neurostimulator pulse device with connection to single electrode array (HCPCS:61885)
- Insertion of brain neurostimulator pulse device with connection to 2 or more electrode arrays (HCPCS:61886)
- New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
- Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)
The enumeration date for this NPI number is 4/19/2007 and was last updated on 12/30/2014.
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 |
| 1 | 207T00000X | Neurological Surgery | | TP326 | KENTUCKY | No |
| 2 | 207T00000X | Neurological Surgery | | 58653 | MINNESOTA | Yes |
