Ho-Hyun Park, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD-031306-L Issued in PA

Practice address

521 Plymouth Rd
Suite 106
Plymouth Meeting, PA 19462-1638

Phone

(610) 941-3390

Fax

(610) 941-3391

NPI assigned

Oct 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Ho H. Park Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229558400000",
    "number": "1780760132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 SUSQUEHANNA RD",
            "city": "RYDAL",
            "state": "PA",
            "postal_code": "190461827",
            "telephone_number": "215-572-5404",
            "fax_number": "215-572-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 PLYMOUTH RD",
            "address_2": "SUITE 106",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621638",
            "telephone_number": "610-941-3390",
            "fax_number": "610-941-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HO-HYUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-28",
        "last_updated": "2008-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD-031306-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "654087",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HO",
            "last_name": "PARK",
            "middle_name": "H.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gerard Pantone, PTA
• Alesha Paradis
• Antonio Angelou Parham, R.N
• Dawn Paries
• Carl H Park, M.D.
• Sun Hee Park, CRNP
• Barbara Parker
• Diane Parker, LPN
• Elizabeth Parker, LPN
• Latifa Parker

• Child & Adolescent Psychiatry Physician in Plymouth Meeting, PA
• Providers in Plymouth Meeting, PA by specialty
• Child & Adolescent Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.