Jungwon Genevieve Park, M.D., PH.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

MD61297103 Issued in WA

Practice address

14 N Mission St Ste 201
Wenatchee, WA 98801-2250

Phone

(509) 596-0096

Fax

(509) 596-0225

NPI assigned

May 12, 2016

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

Enrolled in WA

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

Specialty

Plastic and Reconstructive Surgery

Education

University of Colorado School of Medicine, Aurora, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Confluence Health Hospital Hospital, Wenatchee, WA, CCN 500016
• Lake Chelan Community Hospital Hospital, Chelan, WA, CCN 501334

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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 and National Provider Directory roles.

• Cascadian Plastic Surgery PLLC

  • Plastic and Reconstructive Surgery Physician
  • Wenatchee, WA
  • NPI 1396447876
  Medicare reassignment NPD Authorized official
• Chelan County Public Hospital District No 2

  • Critical Access Hospital
  • Chelan, WA
  • NPI 1578568853
  Medicare reassignment NPD
• Chelan County Public Hospital Dist No 2

  • Critical Access Hospital
  • Chelan, WA
  • NPI 1831358696
  NPD
• Chelan County Public Hospital District No 2

  • Rural Health Clinic/Center
  • Chelan, WA
  • NPI 1124438312
  NPD

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

• Central Washington Health Services Association

  • General Acute Care Hospital
  • Wenatchee, WA
  • NPI 1306883228
  Care Compare affiliation
• Chelan County Public Hospital District No 2

  • Critical Access Hospital
  • Chelan, WA
  • NPI 1578568853
  Care Compare affiliation

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1285080846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N MISSION ST STE 201",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012250",
            "telephone_number": "509-596-0096",
            "fax_number": "509-596-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 N MISSION ST STE 201",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012250",
            "telephone_number": "509-596-0096",
            "fax_number": "509-596-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JUNGWON",
        "middle_name": "GENEVIEVE",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "WA",
            "license": "MD61297103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alysa Paniagua
• Gary A Pape, DDS
• Kenia Paredes Arredondo
• George Paris, M.D.
• Joanne Park, OTD, OTR/L, CLT
• Siyeon Park, RPH
• Katelyn Jackie Parker, LMP
• David Walker Parks, D.M.D.
• Emily Anne Carolina Parks, LMFTA
• Parkside Healthcare LLC

• Plastic and Reconstructive Surgery Physician in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Plastic and Reconstructive Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.