Individual provider Active NPI

Soyoung Park, MD

  • Hematology & Oncology Physician
  • Gilbert, AZ
National Provider Identifier
1013279256
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
56234 Issued in AZ
Practice address
2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone
(480) 256-6444
Fax
(480) 256-3682
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 56234 AZ Primary
Hematology & Oncology Physician 207RH0003X R73284 AZ
Internal Medicine Physician 207R00000X R73284 AZ
Hematology & Oncology Physician 207RH0003X R6867 TX

Addresses

Primary practice location

2946 E Banner Gateway Dr
Gilbert, AZ 85234

Mailing address

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-6444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181210001987 AZ Practitioner - Medical Oncology 3577873033 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Tulane University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner Cancer Center Specialists LLCGroup PAC ID 6103097779, 343 clinicians

Practice addresses (Care Compare)

2946 E Banner Gateway Dr
Gilbert, AZ 85234-2165
Phone (480) 256-6444

Hospital & facility affiliations

  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
  • Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122
  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
  • City of Hope Cancer Center Phoenix Hospital, Goodyear, AZ, CCN 030138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R6867TXMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Internal Medicine Current Accepting new patients
City of Hope Medical Group of Arizona LLC Internal Medicine CurrentSince May 1, 2021 Accepting new patients
Honorhealth CurrentSince Nov 10, 2020 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Sep 29, 2025 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Sep 29, 2025 Accepting new patients
Honorhealth CurrentSince Nov 10, 2020 Accepting new patients

Locations

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

2500 W Utopia Rd
Ste Cvo
Phoenix, AZ 85027

925 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-4498

10460 N 92nd St
Ste 300
Scottsdale, AZ 85258
Phone (480) 323-1573

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

Networks

  • NM HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: spark145411@cityofhope.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1013279256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 E BANNER GATEWAY DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "480-256-6444",
            "fax_number": "480-256-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 E BANNER GATEWAY DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "480-256-6444",
            "fax_number": "480-256-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SOYOUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "56234",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "R73284",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R73284",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "R6867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.