Sung Jae Park is a Family Medicine in Warsaw, Indiana. Sung Jae Park practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Sung Jae Park is 1336116201. The last update date is 2020-10-06.
Sung Jae Park's current location address is 2235 Dubois Dr, Warsaw, Indiana. You can contact this provider via phone number 5742678189 and fax number 5742677554. The mailing address for Sung Jae Park is 2235 Dubois Dr, Warsaw, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sung Jae Park |
|---|---|
| Address | 2235 Dubois Dr, Warsaw, Indiana |
| Phone Number | 5742678189 |
| Fax Number | 5742677554 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1336116201 |
|---|---|
| Provider Enumeration Date | 2006-03-01 |
| Last Updated Date | 2020-10-06 |
Provider Mailing Address Detail
| Address | 2235 Dubois Dr |
|---|---|
| City | Warsaw |
| State | Indiana (IN) |
| Post Code | 465803212 |
| Phone Number | 5742678189 |
| Fax Number | 5742677554 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 1051341 |
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Definition: 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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200248760A | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Sung Jae Park?
The Sung Jae Park has been issued the NPI (National Provider Identifier) 1336116201 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Sung Jae Park located?
The Sung Jae Park is located at 2235 Dubois Dr, Warsaw, IN 465803212.
What is Sung Jae Park's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sung Jae Park's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Sung Jae Park receive its 1336116201 assignment from the Centers for Medicare & Medicaid Services?
The Sung Jae Park was assigned its 1336116201 by the Centers for Medicare & Medicaid Services on 2006-03-01.
As of what date was the information pertaining to Sung Jae Park, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Sung Jae Park, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-10-06.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY