In Kwon Park MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

IN KWON PARK MD PLLC

Practice address

8730 S Tacoma Way Ste 104
Lakewood, WA 98499-4521

Phone

(253) 212-3637

Fax

(253) 267-0153

NPI assigned

Jul 16, 2019

Last updated

Jul 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

In Kwon ParkNPI 1255588679

Title

MD

Phone

(253) 212-3637

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19944/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• In Kwon Park, MD

  • Internal Medicine Physician
  • Lakewood, WA
  • NPI 1255588679
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1417509746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8730 S TACOMA WAY STE 104",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994521",
            "telephone_number": "253-212-3637",
            "fax_number": "253-267-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 S TACOMA WAY STE 104",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994521",
            "telephone_number": "253-212-3637",
            "fax_number": "253-267-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN KWON PARK MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "IN KWON",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "253-212-3637"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taimur Ikram
• Ikrams NP Care Inc
• Anna Rhona Illes
• Mohamed Imam El Bahy Imam, M.D
• Siri Imsland
• Micah Lauraine Ingalls, B.S.
• Ginger Ingersoll Macduff
• Felicia C Ingoglia, CRNA
• Michael Thomas Ingoglia, MD
• Cherish Inman

• Internal Medicine Physician in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.