Sonny Yong Park, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

25559 Issued in SC

Practice address

2300 Western Ave
Manitowoc, WI 54220-3712

Phone

(920) 320-2011

NPI assigned

Aug 30, 2005

Last updated

Oct 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, IN, WI, TN, GA, LA, KY7 enrollments

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 7

Specialty

Emergency Medicine

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jefferson Davis Emergency Group LLCGroup PAC ID 2365496775, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Family Memorial Hospital, Manitowoc, WI, CCN 520107
• Knox County Hospital Hospital, Barbourville, KY, CCN 181328
• Ochsner American Legion Hospital Hospital, Jennings, LA, CCN 190053

Merit-based Incentive Payment System (MIPS)

Final score

86.2 of 100Reported as group

Quality

84.08

Promoting interoperability

100

Improvement activities

40

Cost

64.31

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

97.16

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

95.67 of 100Reported as group

Improvement activities

40

Cost

79.56

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 31)

Interoperability endpoints

• Direct secure messaging: sonnypark@arh.medalliesdirect.net
• Direct secure messaging: spark842805@direct.froedtert.com

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.

• Jefferson Davis Emergency Group LLC

  • Emergency Medicine Physician
  • Jennings, LA
  • NPI 1043289572
  Medicare reassignment Care Compare group
• Emergency Physician Associates of Wisconsin SC

  • Emergency Medicine Physician
  • Marinette, WI
  • NPI 1396119426
  Medicare reassignment NPD
• Froedtert Manitowoc Medical Group, LLC

  dba Froedtert Northeast Medical Group

  • Multi-Specialty Clinic/Center
  • Manitowoc, WI
  • NPI 1437829975
  Medicare reassignment NPD
• Concord Medical Group of Kentucky PLLC

  • Emergency Medicine Physician
  • Hardinsburg, KY
  • NPI 1346746385

  IN

  Medicare reassignment NPD
• Emergency Professionals of Indiana, P.C.

  • Emergency Medicine Physician
  • Fort Wayne, IN
  • NPI 1013951219
  Medicare reassignment NPD
• Green Valley Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Paducah, KY
  • NPI 1720755739
  Medicare reassignment NPD
• Hampton Regional Medical Center

  • Rural Acute Care Hospital
  • Varnville, SC
  • NPI 1487651949
  Medicare reassignment NPD
• Harmonycares Complete Health Services, PLLC

  dba HarmonyCares Health Services

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1962230870

  SC

  Medicare reassignment NPD
• Hilton Head Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Hilton Head Island, SC
  • NPI 1326047176
  Medicare reassignment NPD
• Parish State Emergency Physicians LLC

  • Emergency Medicine Physician
  • New Iberia, LA
  • NPI 1023832870
  Medicare reassignment NPD
• Peach State Emergency Physicians LLC

  • Emergency Medicine Physician
  • Augusta, GA
  • NPI 1053170605
  Medicare reassignment NPD
• T M Carr MD PC

  • Emergency Medicine Physician
  • Dyersburg, TN
  • NPI 1992706097
  Medicare reassignment NPD

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

• Holy Family Memorial Inc

  dba Froedtert Holy Family Memorial Hospital

  • General Acute Care Hospital
  • Manitowoc, WI
  • NPI 1700998697
  Care Compare affiliation
• Arh Mary Breckinridge Health Services, Inc.

  dba ARH Cumberland Valley Medical and Surgical Associates

  • Rural Health Clinic/Center
  • Middlesboro, KY
  • NPI 1962908277

  Hospital

  Care Compare affiliation
• Arh Mary Breckinridge Health Services, Inc.

  dba Barbourville ARH Hospital

  • Critical Access Hospital
  • Barbourville, KY
  • NPI 1992176655
  Care Compare affiliation
• Ochsner American Legion Hospital LLC

  dba Ochsner American Legion Hospital

  • General Acute Care Hospital
  • Jennings, LA
  • NPI 1184373268
  Care Compare affiliation

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793232000000",
    "number": "1720071277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2895 RIVER VISTA WAY",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294662408",
            "telephone_number": "864-640-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WESTERN AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542203712",
            "telephone_number": "920-320-2011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO BOX 6354004",
            "address_purpose": "LOCATION",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635004",
            "country_code": "US",
            "telephone_number": "888-952-6772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 MICHIGAN AVE",
            "address_purpose": "LOCATION",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471528",
            "country_code": "US",
            "telephone_number": "574-753-7541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1988 Kings Gate Ln",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294668191",
            "country_code": "US",
            "telephone_number": "864-640-0395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "SONNY",
        "middle_name": "YONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "1987320",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036182351",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD22311",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01078315A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "25559",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10015400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystel Dawn Otto, MS,ATC, LAT
• Kiley Ouradnik, RN
• Debra Kathleen Paasch, REGISTERED NURSE
• Jennifer Pahmeier
• Shirley Paider, RDH
• Pooja Bharat Patel, MD, MBS
• Willmar Davison Patino Cadavid, MD
• Sean Forrest Pattee, M.D.
• Danielle J Paulson
• Sarah R Pelishek, OTR

• Emergency Medicine Physician in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Emergency Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2026; 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.