NPIMap

Individual provider Active NPI

John Johghyun Park, MD

  • Anesthesiology Physician
  • Bristol, PA
National Provider Identifier
1205862075
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
312393-01 Issued in NY
Practice address
501 Bath Rd
Bristol, PA 19007-3190
Phone
(215) 785-9200
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 312393-01 NY Primary

Addresses

Primary practice location

501 Bath Rd
Bristol, PA 19007-3190

Mailing address

501 Bath Rd
Bristol, PA 19007-3190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070514000406 PA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 0042262123 Reassigns benefits to 2 organizations
I20211119002473 NY Practitioner - Anesthesiology 0042262123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Jefferson Medical College of Thomas Jefferson University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Suburban Medical Group LLCGroup PAC ID 6204145642, 29 clinicians

Practice addresses (Care Compare)

1800 Mulberry St
Scranton, PA 18510-2369
Phone (570) 969-7355

2701 Dekalb Pike
2ND
East Norriton, PA 19401-1820
Phone (610) 275-1028

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
312393-01NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Anesthesia Services, P.C. Anesthesiology CurrentSince Nov 1, 2021 Accepting new patients
Geisinger Clinic CurrentSince May 19, 2025 Accepting new patients
Suburban Medical Group LLC Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince May 19, 2025 Accepting new patients
U of R Anesthesiology Group Anesthesiology CurrentSince Aug 5, 2024 Accepting new patients
Geisinger Clinic Past Accepting new patients
Pain Management Physicians, LLC Anesthesiology PastSince Jan 1, 2023 Accepting new patients
Jefferson University Physicians Anesthesiology Past Accepting new patients
Advanced Spine and Pain, LLC PastSince Feb 12, 2023 Accepting new patients
Philadelphia Health & Education Corporation Past Accepting new patients

Locations

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141

501 Bath Rd
Bristol, PA 19007
Phone (215) 785-9200

100 N Academy Ave
Danville, PA 17822

2701 DeKalb Pike
Fl 2
East Norriton, PA 19401
Phone (610) 275-1028

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

Organizations & group practices 11

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1205862075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BATH RD",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190073190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BATH RD",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190073190",
            "telephone_number": "215-785-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JOHN",
        "middle_name": "JOHGHYUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "312393-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, PA

Sources for this page

Verify at the official NPI Registry.