Individual provider Active NPI

Cheong W Park

  • Assistant Health Information Record Technician
  • Federal Way, WA
National Provider Identifier
1386186955
Registry record updated Nov 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Health Information Record TechnicianTaxonomy code 2470A2800X
Practice address
31217 Pacific Hwy S
A-101
Federal Way, WA 98003-5401
Phone
(253) 642-7850
Fax
(253) 642-7849
NPI assigned
Nov 13, 2016
Last updated
Nov 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Health Information Record Technician 2470A2800X Primary

Addresses

Primary practice location

31217 Pacific Hwy S
A-101
Federal Way, WA 98003-5401

Mailing address

901 E 72ND St
Apt 2B
Tacoma, WA 98404-1738
Phone (253) 642-7850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Well Loved Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1478995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478995200000",
    "number": "1386186955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 72ND ST",
            "address_2": "APT 2B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984041738",
            "telephone_number": "253-642-7850",
            "fax_number": "253-642-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31217 PACIFIC HWY S",
            "address_2": "A-101",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035401",
            "telephone_number": "253-642-7850",
            "fax_number": "253-642-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "CHEONG",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-13",
        "last_updated": "2016-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2470A2800X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information, Assistant Record Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2016; 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.