Youngok Jade Park, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25380 Issued in NV

Practice address

404 N Keene St
Columbia, MO 65201-6626

Phone

(573) 882-2568

Fax

(573) 882-2226

NPI assigned

Oct 6, 2008

Last updated

Aug 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Anesthesiology

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fielden,Hanson,Isaacs,Miyada,Robison,Yeh LTDGroup PAC ID 5799683462, 168 clinicians

Nevada Anesthesia Team PLLCGroup PAC ID 6204363971, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041
• Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003

Merit-based Incentive Payment System (MIPS)

Final score

80.23 of 100Reported as group

Quality

58.17

Promoting interoperability

100

Improvement activities

40

Cost

75.92

Merit-based Incentive Payment System (MIPS)

Final score

78.25 of 100Reported as group

Quality

74.41

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Evans Nevada Anesthesia Team PLLC

  dba Nevada Anesthesia Team

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1851121677
  Medicare reassignment Care Compare group NPD
• Fielden Hanson Isaacs Miyada Robison Yeh LTD

  dba US Anesthesia Partners of Nevada

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1699710749
  Medicare reassignment Care Compare group NPD
• Red Rock Anesthesia Consultants LLC

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1235660002
  Medicare reassignment NPD
• Zen Anesthesia, LLC

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1942589122
  Medicare reassignment NPD

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

• Summerlin Hospital Medical Center L L C

  dba Summerlin Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831189638
  Care Compare affiliation
• Summerlin Hospital Medical Center L L C

  dba ER at South Summerlin, Extension of Summerlin Hospital

  • Emergency Care Clinic/Center
  • Las Vegas, NV
  • NPI 1861234619

  Hospital

  Care Compare affiliation
• Sunrise Hospital and Medical Center, LLC

  dba Sunrise Hospital and Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1861439952
  Care Compare affiliation

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1629229976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843966",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843966",
            "telephone_number": "573-884-3300",
            "fax_number": "573-884-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N KEENE ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016626",
            "telephone_number": "573-882-2568",
            "fax_number": "573-882-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "YOUNGOK",
        "middle_name": "JADE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD448620",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2019033100",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "25380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
            "affiliation": "Y",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals.",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "3 Hospital Dr",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652015276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph Theressa Nehu Parimi, M.D.
• Christine Jeewan Park, MD
• Doris Park, MSN, RN. CS, FNP
• Eric Sung-Woo Park, MD
• Julie Park, MD
• Matthew Lee Parke, DO
• Beth R Parker, LCSW, ACSW
• Catherine Dore Parker, M.D.
• Charles Edward Parker, RRT
• Christopher J Parker, CRNA

• Anesthesiology Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Anesthesiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.