John S Park, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

35060816P Issued in OH

Practice address

231 Seasons Rd
Suite 200
Hudson, OH 44224

Phone

(330) 926-3313

Fax

(330) 945-7381

NPI assigned

Aug 4, 2005

Sex

Male

Sole proprietor

No

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 OH

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

Gastroenterology

Education

Northeastern Ohio University College of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

WRH Physicians, IncGroup PAC ID 0840342366, 149 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summa Western Reserve Hospital Hospital, Cuyahoga Falls, OH, CCN 360150
• Summa Health System Hospital, Akron, OH, CCN 360020

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.park@wrhs.eclinicaldirectplus.com

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.

• WRH Physicians, Inc.

  • Pain Medicine Physician
  • Cuyahoga Falls, OH
  • NPI 1700025459

  Gastroenterology

  Medicare reassignment Care Compare group NPD
• Alliance Community Medical Foundation LLC

  • Exclusive Provider Organization
  • Alliance, OH
  • NPI 1699929562
  NPD (past)
• WRH Physicians, Inc.

  • Urgent Care Clinic/Center
  • Stow, OH
  • NPI 1295067940
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Summa Health System

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Canton, OH
  • NPI 1295036762

  Hospital

  Care Compare affiliation
• Summa Health System

  • General Acute Care Hospital
  • Akron, OH
  • NPI 1396765681
  Care Compare affiliation
• Summa Health System

  • Clinical Medical Laboratory
  • Barberton, OH
  • NPI 1609263706

  Hospital

  Care Compare affiliation
• Western Reserve Hospital, LLC

  • General Acute Care Hospital
  • Cuyahoga Falls, OH
  • NPI 1518104199
  Care Compare affiliation

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1588665103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 SEASONS RD",
            "address_2": "SUITE 200",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "44224",
            "telephone_number": "330-926-3313",
            "fax_number": "330-945-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 SEASONS RD",
            "address_2": "SUITE 200",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "44224",
            "telephone_number": "330-926-3313",
            "fax_number": "330-945-7381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4016 Massillon Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "OH",
            "postal_code": "446857818",
            "country_code": "US",
            "telephone_number": "330-926-3313",
            "fax_number": "330-945-7381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2023-08-01",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35060816P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0833361",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elliott Palmeri
• Jennifer Marie Pamfilie, M.D.
• Lindsey Christine Paradise, CPRS
• Paragon Health Associates, LLC
• Nirmala Parajuli, M.D.
• Partners Physician Group
• Joan Marie Paskert, C.P.N.P.
• Cheryl Patterson
• Nancy Lynn Patterson
• Bradley Patton, D.O.

• Gastroenterology Physician in Hudson, OH
• Providers in Hudson, OH by specialty
• Gastroenterology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.