Active NPI
James E Park, MD
- Family Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00038843
- Practice address
- 9245 Rainier Ave S
Seattle, WA 98118-5569 - Phone
- (206) 548-5850
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00038843 | WA | Primary |
Addresses
Primary practice location
9245 Rainier Ave S
Seattle, WA 98118-5569
Mailing address
1200 12TH Ave S Ste 901
Seattle, WA 98144-2712
Phone (206) 548-3114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical College of Wisconsin, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peacehealth
Practice addresses (Care Compare)
10521 Meridian Ave N
Seattle, WA 98133-9509
Phone (206) 296-4990
3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 228-8300
4400 37TH Ave S
Seattle, WA 98118-1609
Phone (206) 461-6957
9245 Rainier Ave S
Seattle, WA 98118-5569
Phone (206) 722-8444
Hospital & facility affiliations
- Peacehealth Ketchikan Medical Center Home Health
- Peacehealth Ketchikan Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Group-Renton | Family Medicine | Current | Accepting new patients |
| Neighborcare Health | Current | Accepting new patients | |
| Neighborcare Health | Family Medicine | Current | Accepting new patients |
| Neighborcare Health | Current | Accepting new patients | |
| Neighborcare Health | Current | Accepting new patients | |
| Peacehealth | Family Medicine | Current | Accepting new patients |
| Peacehealth | Current | Accepting new patients | |
| Public Hospital District 1 of King County | Past | Accepting new patients | |
| Bourget Health Services Inc | Past | Accepting new patients |
Locations
3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104
16850 SE 272nd St
Covington, WA 98042
Phone (253) 395-1960
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
7203 129th Ave SE
#100
Newcastle, WA 98056
Phone (425) 656-5406
7203 129th Ave SE
Ste 100
Newcastle, WA 98056
Phone (425) 656-5406
400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450
4033 Talbot Rd S
Ste 570
Renton, WA 98055
Phone (425) 656-5400
3600 Lind Ave SW
Ste 100
Renton, WA 98057
4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650
1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350
1200 12th Ave S
Ste 901
Seattle, WA 98144
Phone (206) 548-3058
6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950
12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326
9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981
Organizations & group practices 9
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.
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1578593562
-
- Critical Access Hospital
- Ketchikan, AK
- NPI 1396705539
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275187429
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275567539
-
- Federally Qualified Health Center (FQHC)
- Vashon, WA
- NPI 1437603099
Family Medicine
-
- Clinical Medical Laboratory
- Spokane, WA
- NPI 1033117338
-
- Institutional Pharmacy
- Renton, WA
- NPI 1679862189
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Ketchikan, AK
- NPI 1396705539
-
- Home Health Agency
- Ketchikan, AK
- NPI 1760427082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1285647925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 12TH AVE S STE 901",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981442712",
"telephone_number": "206-548-3114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9245 RAINIER AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981185569",
"telephone_number": "206-548-5850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "JAMES",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00038843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.
- 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.