Shinkweon Park, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

236 Issued in GA

Practice address

3705 Old Norcross Rd
Ste 400
Duluth, GA 30096-4335

Phone

(770) 696-7460

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1013067131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 OLD NORCROSS RD",
            "address_2": "STE 400",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964335",
            "telephone_number": "770-696-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 OLD NORCROSS RD",
            "address_2": "STE 400",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964335",
            "telephone_number": "770-696-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SHINKWEON",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC7613",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeeyeoun Park, D.M.D.
• Ji Eun Park
• Myoung S Park, D.C.
• Nanyoung Park, ANP-BC
• Sarang Park
• Woojin Park, L.AC
• Parks Acupuncture & Herbs LLC
• Michael Christopher Parrinello, NP
• Lillie Bland Parrish, NP
• Aparna Anil Parvathi, PHARMD

• Acupuncturist in Duluth, GA
• Providers in Duluth, GA by specialty
• Acupuncturist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.