Seungsun Ellen Park, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

01426 Issued in MD

Practice address

7955 Tuckerman LN # 1449
Rockville, MD 20854-3243

Phone

(301) 299-3717

NPI assigned

Aug 24, 2017

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Maryland CVS Pharmacy, L.L.C.

  • Pharmacy
  • Gaithersburg, MD
  • NPI 1669100285
  NPD (past)

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503532800000",
    "number": "1144747817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 UNIVERSITY BLVD E APT 2-207",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209013665",
            "telephone_number": "301-633-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 TUCKERMAN LN # 1449",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208543243",
            "telephone_number": "301-299-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SEUNGSUN",
        "middle_name": "ELLEN",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2017-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Ho Park, D.C.
• Ju-Un Julian Park, MD
• Min Park, OTR/L
• Paul Monsoo Park, M.D.
• Ryan Park, DMD
• Soh Park
• Stephanie Grace Park, PH.D.
• Stephen Joseph Park, M.D.
• Sunhee Park
• Sunny Grace Park, LCSW-C

• Audiologist in Rockville, MD
• Providers in Rockville, MD by specialty
• Audiologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.