Dean Park, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

01063363A Issued in IN

Practice address

4954 N Palmer Rd RM 3656
Bethesda, MD 20889-3455

Phone

(301) 319-2100

Fax

(301) 319-2119

NPI assigned

Jan 4, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1205983004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4954 N. PALMER ROAD",
            "address_2": "BUILDING 19, ROOM 3656",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20889",
            "telephone_number": "301-319-2100",
            "fax_number": "301-319-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4954 N PALMER RD RM 3656",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208893455",
            "telephone_number": "301-319-2100",
            "fax_number": "301-319-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01063363A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "146470D2",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200861710",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Paredes, APRN
• Akshat Parekh
• Dina S Parekh, MD
• Anna Jin-Hee Park, M.S.,R.PH., RAC
• Ashley Hyoin Park, MD
• Edward Park, MD
• Eric J Park, MD
• James H Park, MD
• Ko Eun Park
• Selena U Park, MD

• Hematology & Oncology Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Hematology & Oncology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.