Y. W. Park, M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

35043203 Issued in OH

Legal business name

Y. W. PARK, M.D., INC.

Practice address

105 5TH St SE
Suite 4
Barberton, OH 44203-4255

Phone

(330) 753-9763

Fax

(330) 753-1086

NPI assigned

Sep 5, 2012

Organization subpart

No

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

Authorized official

Name

Youn W. Park, M.D

Title

Owner

Phone

(330) 753-9763

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1053660126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 5TH ST SE",
            "address_2": "SUITE 4",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442034255",
            "telephone_number": "330-753-9763",
            "fax_number": "330-753-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 5TH ST SE",
            "address_2": "SUITE 4",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442034255",
            "telephone_number": "330-753-9763",
            "fax_number": "330-753-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y. W. PARK, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "YOUN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-753-9763",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35043203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Barberton, OH
• Providers in Barberton, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.