NPIMap

Organization Active NPI

Chong Min Park, M.D.,P.C.

  • Orthopaedic Surgery Physician
  • Clarion, PA
National Provider Identifier
1811104607
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD428499 Issued in PA
Legal business name
CHONG MIN PARK, M.D.,P.C.
Practice address
24 Doctors LN
Suite 304
Clarion, PA 16214-8568
Phone
(814) 226-7800
Fax
(814) 226-7801
NPI assigned
May 17, 2007
Last updated
Jan 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
Dr. Chong Min Park, M.D.
Title
President
Phone
(814) 226-7800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD428499 PA Primary
Orthopaedic Hand Surgery Physician 207XS0106X MD428499 PA

Addresses

Primary practice location

24 Doctors LN
Suite 304
Clarion, PA 16214-8568

Mailing address

24 Doctors LN
Suite 304
Clarion, PA 16214-8568
Phone (814) 226-7800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1811104607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 DOCTORS LN",
            "address_2": "SUITE 304",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162148568",
            "telephone_number": "814-226-7800",
            "fax_number": "814-226-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 DOCTORS LN",
            "address_2": "SUITE 304",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162148568",
            "telephone_number": "814-226-7800",
            "fax_number": "814-226-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHONG MIN PARK, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "CHONG MIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-226-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD428499",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "PA",
            "license": "MD428499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarion, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.