Cecil County Pediatrics

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

CECIL COUNTY PEDIATRICS

Practice address

719 N Bridge St
Elkton, MD 21921-5309

Phone

(410) 398-2700

Fax

(410) 620-1249

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ddong Hee Park, M.D.

Title

President

Phone

(410) 398-2700

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dong Hee Park, M.D.

  • Specialist
  • Elkton, MD
  • NPI 1285626887
  NPD

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1780639096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 N BRIDGE ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215309",
            "telephone_number": "410-398-2700",
            "fax_number": "410-620-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N BRIDGE ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215309",
            "telephone_number": "410-398-2700",
            "fax_number": "410-620-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECIL COUNTY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "DDONG",
        "authorized_official_middle_name": "HEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-398-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecil County Health Department
• Cecil County Health Department
• Cecil County Health Department
• Cecil County Health Department
• Cecil County Infants & Toddlers Program
• Cecil County Public Schools
• Cecil Dermatology LLC
• Cecil Imaging Center, LLC
• Cecil Surgery Center, LLC
• Center for Comprehensive Services, Inc

• Pediatric Adolescent Medicine Physician in Elkton, MD
• Providers in Elkton, MD by specialty
• Pediatric Adolescent Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.