In Soon Park, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME93268 Issued in FL

Practice address

519 Medical Oaks Ave
Brandon, FL 33511

Phone

(813) 685-7995

Fax

(813) 685-8802

NPI assigned

Jul 7, 2006

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 FL

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

General Surgery

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Professional Alliance LLCGroup PAC ID 0547676421, 2 clinicians

Suncoast Surgical Associates PAGroup PAC ID 3072546266, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Josephs Hospital Hospital, Tampa, FL, CCN 100075
• HCA Florida Brandon Hospital Hospital, Brandon, FL, CCN 100243
• Baycare Hospital Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100362

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: insoonpark@suncoastsu.allscriptsdirect.net

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.

• Physicians Professional Alliance, LLC

  • Surgery Physician
  • Brandon, FL
  • NPI 1477179463
  Medicare reassignment Care Compare group NPD
• Suncoast Surgical Associates P a

  • Surgery Physician
  • Brandon, FL
  • NPI 1780710020
  Medicare reassignment Care Compare group NPD
• Mount Sinai School of Medicine

  • Internal Medicine Physician
  • Elmhurst, NY
  • NPI 1013147313
  NPD (past)

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

• Baycare Pasco, Inc.

  • General Acute Care Hospital
  • Wesley Chapel, FL
  • NPI 1518604693
  Care Compare affiliation
• Galencare, Inc.

  • General Acute Care Hospital
  • Brandon, FL
  • NPI 1669427258
  Care Compare affiliation
• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1346519816
  Care Compare affiliation
• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1881632818
  Care Compare affiliation

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1083646350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 MEDICAL OAKS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-685-7995",
            "fax_number": "813-685-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 MEDICAL OAKS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "813-685-7995",
            "fax_number": "813-685-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "IN SOON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME93268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Frances Papp, RMHCI
• Jamie Pappa
• Sonam Parag
• Maggie Parchman
• Park View of Brandon LLC
• David Grant Parker, DDS
• Latasha Parks
• Stephen David Parks, M.D.
• Jennifer Parrish, PT
• Parson Chiropractic PA

• Surgery Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.