Active NPI
Jin Hyung Park, AUD
- Audiologist
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2201001854
- Practice address
- 1001 E Leigh St FL 14
Richmond, VA 23298-5004 - Phone
- (804) 828-0431
- Fax
- (804) 628-0950
- NPI assigned
- Nov 3, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 5583 | OK | |
| Audiologist | 231H00000X | 2201001854 | VA | Primary |
Addresses
Primary practice location
1001 E Leigh St FL 14
Richmond, VA 23298-5004
Mailing address
724 Bristol Village Dr Apt 206
Midlothian, VA 23114-4636
Phone (918) 805-2583
Other practice location 1
1000 E Broad St
Richmond, VA 23219-1930
Phone (804) 828-2467
Other practice location 2
9109 Stony Point Dr Fl 1
Richmond, VA 23235-1979
Phone (804) 327-8070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 E Leigh St
Richmond, VA 23298-5004
Phone (804) 828-7929
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.95 of 100
- Quality
- 69.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5583 | OK | MD | Occupational Therapist |
| 2201001854 | VA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Current | Accepting new patients | |
| Vcu Oral-Facial Surgery and Services LLC | Past | Accepting new patients |
Locations
9109 Stony Point Dr
Fl 1
Richmond, VA 23235
Phone (804) 327-8070
1001 E Leigh St
Fl 14
Richmond, VA 23298
Phone (804) 628-4368
1000 E Broad St
Richmond, VA 23219
403 N 11th St
Rm 304
Richmond, VA 23298
Phone (804) 828-0431
1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497
9109 Stony Point Dr
Richmond, VA 23235
Phone (804) 827-8000
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Richmond, VA
- NPI 1215502125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1326703463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 BRISTOL VILLAGE DR APT 206",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231144636",
"telephone_number": "918-805-2583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E LEIGH ST FL 14",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985004",
"telephone_number": "804-828-0431",
"fax_number": "804-628-0950"
}
],
"practiceLocations": [
{
"address_1": "1000 E Broad St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232191930",
"country_code": "US",
"telephone_number": "804-828-2467",
"fax_number": "804-827-1560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9109 Stony Point Dr Fl 1",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232351979",
"country_code": "US",
"telephone_number": "804-327-8070",
"fax_number": "804-327-8076",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARK",
"first_name": "JIN HYUNG",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-03",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OK",
"license": "5583",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "2201001854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.