Ko Eun Park

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U02560 Issued in MD

Practice address

4300 Montgomery Ave Ste 104
Bethesda, MD 20814-4412

Phone

(301) 458-0056

NPI assigned

Jun 12, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• KP Acupuncture

  • Acupuncturist
  • Bethesda, MD
  • NPI 1427610872
  NPD (past)

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1124687074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 HECATE CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220323840",
            "telephone_number": "703-340-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MONTGOMERY AVE STE 104",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144412",
            "telephone_number": "301-458-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "KO EUN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Hyoin Park, MD
• Dean Park, MD
• Edward Park, MD
• Eric J Park, MD
• James H Park, MD
• Selena U Park, MD
• Soyoun Park
• Tony JB Park, PHARM.D.
• Woojin Park
• Austin Max Parker

• Acupuncturist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.