Hee-Joo Nancy Park, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

D0074700 Issued in MD

Practice address

402 Monterey Ave
Annapolis, MD 21401-1330

Phone

(410) 960-5019

NPI assigned

May 6, 2009

Last updated

Jan 29, 2025By the provider in NPPES

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

Enrolled in MD

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brown, Croft, Frazier, PA

  dba Annapolis Radiology Associates

  • Diagnostic Radiology Physician
  • Annapolis, MD
  • NPI 1902807324
  Medicare reassignment NPD
• Luminis Health Imaging, Inc.

  dba Anne Arundel Diagnostics, Inc

  • Diagnostic Radiology Physician
  • Annapolis, MD
  • NPI 1366420879
  Medicare reassignment NPD
• Luminis Health Imaging, Inc.

  dba Anne Arundel Diagnostics, Inc

  • Radiology Clinic/Center
  • Bowie, MD
  • NPI 1194825240

  Diagnostic Radiology

  NPD

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1225262207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MONTEREY AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011330",
            "telephone_number": "410-960-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MONTEREY AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011330",
            "telephone_number": "410-960-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HEE-JOO",
        "middle_name": "NANCY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-06",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0074700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerrie Michelle Paras, PA-C
• Juan Manuel Pardo, MD
• Juan Michael Pardo, MD
• Arlynn Paris
• Albert Park, DMD
• John Stanitski Park, M.D.
• Parker Bradford Counseling Services, LLC
• Ana Parker
• Diamonica Parker
• Elizabeth A. Parker, MD

• Diagnostic Radiology Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Diagnostic Radiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.