Young R Park, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

35041645P Issued in OH

Practice address

1343 N Fountain Blvd
Springfield, OH 45501

Phone

(937) 390-5029

NPI assigned

Aug 24, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Springfield Regional Anesthesia, Inc

  • Anesthesiology Physician
  • Springfield, OH
  • NPI 1588836597
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245347392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632621",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632621",
            "telephone_number": "908-653-9399",
            "fax_number": "908-653-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 N FOUNTAIN BLVD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45501",
            "telephone_number": "937-390-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "YOUNG",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35041645P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0397682",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marios Petrous Panayides, MD
• Kaylee Panstingel
• Paragon Infusion Therapy, LLC
• Lakshmy Parameswaran, M.D.
• Jinhee Park
• Yvonne Parke
• Jordan Paige Parker, AUD
• Olivia T Parkinson, LPC
• Melissa Lynn Parks
• William J Parks II

• Anesthesiology Physician in Springfield, OH
• Providers in Springfield, OH by specialty
• Anesthesiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.