Dorothy Inne Park, CRNA, RN

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

95000412 Issued in CA

Practice address

1101 Madison St Ste 301
Seattle, WA 98104-3599

Phone

(360) 951-1785

NPI assigned

Nov 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paceline Anesthesia, PLLCGroup PAC ID 5799853099, 36 clinicians

Sight Partners Physicians PCGroup PAC ID 6002728532, 59 clinicians

Evergreen Eye Anesthesia PLLCGroup PAC ID 7315317112, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.74 of 100Reported as group

Quality

88.73

Promoting interoperability

100

Improvement activities

40

Cost

77.08

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Registered Nurse

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 and National Provider Directory roles.

• Paceline Anesthesia, PLLC

  • Certified Registered Nurse Anesthetist
  • Bellevue, WA
  • NPI 1417273780

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Sight Partners Physicians, P.C.

  • Ophthalmology Physician
  • Bellingham, WA
  • NPI 1376613075
  Medicare reassignment Care Compare group NPD
• Evergreen Eye Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Federal Way, WA
  • NPI 1134839319
  Medicare reassignment Care Compare group
• Sight Partners Physicians PC

  • Multi-Specialty Clinic/Center
  • Colville, WA
  • NPI 1801781802
  NPD
• Sight Partners Physicians, P.C.

  • Ophthalmology Physician
  • Bellevue, WA
  • NPI 1255961918
  NPD
• Sight Partners Physicians, P.C.

  • Ophthalmology Physician
  • Sequim, WA
  • NPI 1043212400
  NPD (past)
• Sight Partners Physicians, P.C.

  • Ophthalmology Physician
  • Mount Vernon, WA
  • NPI 1134121593
  NPD (past)
• Sight Partners Physicians, P.C.

  • Ophthalmology Physician
  • Arlington, WA
  • NPI 1275533127
  NPD (past)
• Sight Partners Physicians, P.C.

  • Ophthalmology Physician
  • Arlington, WA
  • NPI 1386264703
  NPD (past)

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1801260757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 54TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981157721",
            "telephone_number": "360-951-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST STE 301",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043599",
            "telephone_number": "360-951-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "DOROTHY",
        "middle_name": "INNE",
        "credential": "CRNA, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Jungwon Park, D.D.S.
• Christopher Jin-Su Park, LMHC
• Clara Esther Park, PHARMD
• David Park, DDS
• Dong Won Park, LMHCA
• Edmund Park, M.DIV
• Ellen Miyoung Park
• Esther Park
• Esther Chanhye Park, PHD
• Eunice Sehee Park, OTR/L

• Certified Registered Nurse Anesthetist in Seattle, WA
• Providers in Seattle, WA by specialty
• Certified Registered Nurse Anesthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.