DR. MD John Johghyun Park, NPI 1205862075
Interventional Pain Medicine Physician in Philadelphia, PA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1205862075 |
| NPI Entity Type | Individual |
| Provider Name | DR. MD John Johghyun Park |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 2701 Holme Ave Ste 205, Philadelphia, PA, US |
| Provider Mailing Address | Po Box 45748, Baltimore, MD, US, 212975748 |
| Gender | Male |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Interventional Pain Medicine Physician |
| Classification | |
| Group | |
| License No. | MD060489L |
| License State | PA |
| Description | Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 25MA07512200 | NJ | No | |||
| MD060486L | PA | No | |||
| 25MA07512200 | NJ | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 1454830 | NJ | AETNA | 01 |
| 317953 | NJ | US FAMILY HEALTH PLAN | 01 |
| 54-2177172 | NJ | HORIZON BLUE CROSS BLUE SHIELD | 01 |
| 54-2177172 | NJ | PROCURA | 01 |
| 0288764000 | PA | KEYSTONE MEDICARE 65 | 01 |
| 54-2177172 | NJ | HORIZON CASUALITY | 01 |
| 54-2177172 | NJ | CHN | 01 |
| P3729065 | NJ | OXFORD | 01 |
| 54-2177172 | NJ | PHCS (MULTIPLAN) | 01 |
| 54-2177172 | NJ | HEALTH NET (TRICARE) | 01 |
| 7486999 | NJ | CIGNA | 01 |
| 1996192 | NJ | UNITED HEALTHCARE | 01 |
| 2814326000 | NJ | KHPE, AMERIHEALTH, PERSONAL CHOICE | 01 |
| 0172439106 | PA | AMERICHOICE | 01 |
| 54-2177172 | NJ | FOCUS | 01 |
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