Julie U. Park, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

30218 Issued in SC

Practice address

2817 Woodruff Rd
Simpsonville, SC 29681-4807

Phone

(864) 610-1947

Fax

(864) 610-1948

NPI assigned

Aug 13, 2006

Last updated

Nov 17, 2023By the provider in NPPES

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

Enrolled in SC

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

Interventional Radiology

Education

Temple University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Vein Care and Aesthetics LLCGroup PAC ID 6406100080, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jpark@cvca.streamlinemddirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolina Vein Care and Aesthetics, LLC

  dba Carolina Vein Care Aesthetics, LLC

  • Vascular Surgery Physician
  • Greenville, SC
  • NPI 1134615396
  Medicare reassignment Care Compare group
• Plastic Surgery Center of the Carolinas

  • Medical Specialty Clinic/Center
  • Spartanburg, SC
  • NPI 1265674253
  NPD (past)
• Upstate Carolina Radiology PA

  • Diagnostic Radiology Physician
  • Spartanburg, SC
  • NPI 1750348595
  NPD (past)
• Diversified Radiology of Colorado, Inc

  • Diagnostic Radiology Physician
  • Lakewood, CO
  • NPI 1205923596
  NPD (past)
• Flatirons Radiology, LLC

  • Body Imaging Physician
  • Denver, CO
  • NPI 1700911393

  Vascular & Interventional Radiology

  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1336151729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WELSH COBB CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156074",
            "telephone_number": "864-752-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 WOODRUFF RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814807",
            "telephone_number": "864-610-1947",
            "fax_number": "864-610-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JULIE",
        "middle_name": "U.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "SC",
            "license": "30218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11736763",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palmetto Health (The Pastoral Counseling Center of Simpsonville)
• Palmetto Home Care Service, LLC
• Palmetto Prosthodontics, LLC
• Bobby Papariella
• Park Medical, LLC
• Jennie Ann Parker, PHARMD
• Kenneth Parker
• Stephen E Parks, MD
• Erin Elizabeth Parmelee, PT, DPT
• Maureen Ann Passafiume

• Vascular & Interventional Radiology Physician in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Vascular & Interventional Radiology Physician in South Carolina

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