Organization Active NPI

Ok H. Park, M.D., L.L.C.

  • Ophthalmology Physician
  • Baltimore, MD
National Provider Identifier
1356374151
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OK H. PARK, M.D., L.L.C.
Practice address
9110 Philadelphia Rd
Suite 213
Baltimore, MD 21237-4301
Phone
(410) 918-9007
Fax
(410) 918-9011
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ok H. Park, M.D.
Title
Owner
Phone
(410) 918-9007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

9110 Philadelphia Rd
Suite 213
Baltimore, MD 21237-4301

Mailing address

9110 Philadelphia Rd
Suite 213
Baltimore, MD 21237-4301
Phone (410) 918-9007

Other identifiers 4

IdentifierTypeStateIssuer
J727OtherDCCAREFIRST
DD8163OtherGARAILROAD MEDICARE
406613800MedicaidMD
767APAOtherMDCAREFIRST

National Provider Directory

National Provider Directory

Locations

9110 Philadelphia Rd
Ste 213
Rosedale, MD 21237
Phone (410) 918-9007

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1356374151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9110 PHILADELPHIA RD",
            "address_2": "SUITE 213",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374301",
            "telephone_number": "410-918-9007",
            "fax_number": "410-918-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9110 PHILADELPHIA RD",
            "address_2": "SUITE 213",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374301",
            "telephone_number": "410-918-9007",
            "fax_number": "410-918-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OK H. PARK, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "OK",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-918-9007",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "J727",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD8163",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406613800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "767APA",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.