Dong Hee Park, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0046451 Issued in MD

Practice address

719 N Bridge St
Elkton, MD 21921-5309

Phone

(410) 398-2700

Fax

(410) 620-1249

NPI assigned

Aug 19, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Cecil County Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Elkton, MD
  • NPI 1780639096
  NPD

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1285626887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 N BRIDGE ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215309",
            "telephone_number": "410-398-2700",
            "fax_number": "410-620-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N BRIDGE ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215309",
            "telephone_number": "410-398-2700",
            "fax_number": "410-620-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "DONG",
        "middle_name": "HEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0046451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "633900000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Panchadcharam Gnaneswaran MD PA
• Nicole Paradis, PHARMD
• Barbara A Parey, MD
• Jamilla Parham
• Casandra D Park, ADT
• Katie Parks, PSYD
• Astra Parmer, RBT
• Kaitlin Parry, LGSW
• Partners in Womens Health, PA
• Bhrugisha R Patel, PHARMD., MBA

• Specialist in Elkton, MD
• Providers in Elkton, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.