Sung Gohn Park, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

0101030177 Issued in VA

Practice address

2621 Grove Avenue
Richmond, VA 23220-4300

Phone

(804) 254-5100

NPI assigned

May 24, 2006

Last updated

May 5, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Anesthesia Associates of Richmond, Inc

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1801831656
  NPD (past)
• Anesthesia Healthcare Partners, Inc.

  • Anesthesiology Physician
  • Petersburg, VA
  • NPI 1477501401
  NPD (past)
• Capital Anesthesia Services, LLC

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1346488848
  NPD (past)
• Commonwealth Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1548275308
  NPD (past)
• Tuckahoe Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • Henrico, VA
  • NPI 1609809334
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1841245180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 1041 PO BOX 740209",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 GROVE AVENUE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204300",
            "telephone_number": "804-254-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SUNG",
        "middle_name": "GOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101030177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010032741",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Sungwoo Park, MD
• Jin Hyung Park, AUD
• Katherine Eg Park
• Marina Park, MS, RD
• Samuel Park, PHD
• Suzie C Park, MD
• Tae Shik Park, M.D.
• Yongsang Park, MD
• Judith Ray Parker-Falzoi, NP
• Angela Jane Parker, FNP

• Anesthesiology Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Anesthesiology Physician in Virginia

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