Da Yon Park, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110006433 Issued in VA

Practice address

3620 Joseph Siewick Dr Ste 201
Fairfax, VA 22033-1758

Phone

(703) 391-0111

NPI assigned

Dec 21, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fair Oaks Ortho, PLLCGroup PAC ID 8921492083, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Fair Oaks Ortho, PLLC

  • Orthopaedic Surgery Physician
  • Fairfax, VA
  • NPI 1518626480

  DC

  Medicare reassignment Care Compare group
• Fair Oaks Ortho, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Fairfax, VA
  • NPI 1750090973
  NPD

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1053883579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 JOSEPH SIEWICK DR STE 201",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331758",
            "telephone_number": "703-391-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 JOSEPH SIEWICK DR STE 201",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331758",
            "telephone_number": "703-391-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "DA",
        "middle_name": "YON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasleen Parihar, PSYD
• Kinjal Parikh, MD
• Chan Young Park
• Charles Hee Yong Park, DDS
• Cheon Gyu Park, D.C.
• Daniel Y Park, DPT
• Gina Park
• Heesun Park
• James Park
• Jamie H Park, D.D.S.

• Physician Assistant in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.