Sumin Park, MD

Key facts

NPI

1639675754

Entity type

Individual (NPI type 1)

Primary specialty

Obstetrics & Gynecology Physician 207V00000X

License

MD478427 (PA)

Practice address

609 W Germantown Pike Ste 220
East Norriton, PA 19403-4261

Phone

(484) 622-7940

Fax

(484) 622-7950

NPI assigned

Apr 5, 2018

Sex

Female

Sole proprietor

No

Organizations & group practices 7

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.

• Fornance Physician Services, Inc Obstetrics & Gynecology Physician · Norristown, PA · NPI 1053363523
  Medicare reassignment Care Compare group NPD OBSTETRICS & GYNECOLOGY · PA
• Einstein Practice Plan Inc Psychiatry Physician · Philadelphia, PA · NPI 1760434468
  Medicare reassignment PA
• Einstein Practice Plan Inc Certified Registered Nurse Anesthetist · Philadelphia, PA · NPI 1457047433
  NPD
• Einstein Practice Plan Inc Sleep Medicine (Internal Medicine) Physician · Philadelphia, PA · NPI 1760086219
  NPD
• Fornance Physician Services, Inc. Obstetrics & Gynecology Physician · East Norriton, PA · NPI 1184694705
  NPD OBSTETRICS & GYNECOLOGY
• Fornance Physician Services, Inc. Neurological Surgery Physician · Plymouth Meeting, PA · NPI 1699459388
  NPD
• Einstein Medical Center Montgomery General Acute Care Hospital · East Norriton, PA · NPI 1104192590
  NPD (past)

Hospital & facility affiliations 1

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

• Einstein Medical Center Montgomery General Acute Care Hospital · East Norriton, PA · NPI 1104192590
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Obstetrics/Gynecology

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fornance Physician Services Inc (105 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Einstein Montgomery Hospital Hospital · East Norriton, PA · CCN 390329

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 10, 2023.

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1639675754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W GERMANTOWN PIKE STE 220",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194034261",
            "telephone_number": "484-622-7940",
            "fax_number": "484-622-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W GERMANTOWN PIKE STE 220",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194034261",
            "telephone_number": "484-622-7940",
            "fax_number": "484-622-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SUMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD478427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norriton, PA

• Kazim Oladotun Oyenuga, BPHARM, PHD
• Manzil Panchal
• Raluca Papadopol, MD
• Alexander Pappas, DO
• Shobhana Kulaparikal Parameshwaran, MD
• Ingrid Parker, M.A., LPC, LBS
• Arati Patel, PHARM.D.
• Reshma Patel, PHARMD
• Patient First Pennsylvania Medical Group
• Patient First Pennsylvania Medical Group PLLC

All providers in East Norriton, PA · Obstetrics & Gynecology Physician in Pennsylvania