Thomas Yoon Park

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35168 Issued in WV

Practice address

60 Maclaine Way
Shepherdstown, WV 25443-1667

Phone

(304) 876-6343

NPI assigned

Mar 31, 2022

Last updated

Oct 1, 2025By the provider in NPPES

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 WV

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

Specialty

Family Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wvuhs Home Care Home health agency, Clarksburg, WV, CCN 517053
• Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008
• Jefferson Medical Center Hospital, Ranson, WV, CCN 511319

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Virginia University Medical Corporation

  dba University Health Associates

  • Family Medicine Physician
  • Morgantown, WV
  • NPI 1275504508
  Medicare reassignment Care Compare group NPD
• West Virginia University Medical Corporation

  dba Crisis Support and Recovery Center

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1174233530
  NPD
• City Hospital, Inc.

  • Internal Medicine Physician
  • Ranson, WV
  • NPI 1336657493

  Family Medicine

  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• City Hospital, Inc

  dba Berkeley Medical Center

  • General Acute Care Hospital
  • Martinsburg, WV
  • NPI 1457389249
  Care Compare affiliation
• Jefferson Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Ranson, WV
  • NPI 1104242569
  Care Compare affiliation
• Jefferson Memorial Hospital

  • Internal Medicine Physician
  • Ranson, WV
  • NPI 1316364953

  Hospital

  Care Compare affiliation
• Jefferson Memorial Hospital

  dba Jefferson Medical Center

  • Critical Access Hospital
  • Ranson, WV
  • NPI 1891722377
  Care Compare affiliation
• Jefferson Memorial Hospital

  • Anesthesiology Physician
  • Ranson, WV
  • NPI 1982704961

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1073253639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MACLAINE WAY",
            "city": "SHEPHERDSTOWN",
            "state": "WV",
            "postal_code": "254431667",
            "telephone_number": "304-876-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MACLAINE WAY",
            "city": "SHEPHERDSTOWN",
            "state": "WV",
            "postal_code": "254431667",
            "telephone_number": "304-876-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "THOMAS",
        "middle_name": "YOON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-31",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "35168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eli Samuel Nolasco
• Natasha Margaret Obanion
• Brian Joseph Palank, DDS
• Christine La Porte Palank, RN, MS, ANP-C
• Brittany Palaschak
• J. Peterson, PH.D., L.L.C.
• Polonchak Educational Associates
• Cathy Polonchak, LICSW
• Potomac Crossroads Counseling, LLC
• Potomac Integrative Health PLLC

• Family Medicine Physician in Shepherdstown, WV
• Providers in Shepherdstown, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.