Joseph Park, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L6563 Issued in TX

Practice address

3805 Main St Ste 112
The Colony, TX 75056-2853

Phone

(972) 370-0004

Fax

(972) 370-0088

NPI assigned

Jan 18, 2007

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 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of North Texas HSC, College of Osteopathic Med, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGBFAD/Endpoint/IGBFAD
• Direct secure messaging: joseph.park@jpd.eclinicaldirectplus.com

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.

• Joseph Park, D.O., PLLC

  • Family Medicine Physician
  • The Colony, TX
  • NPI 1649427337
  NPD (past) Authorized official
• Amy Chung, D.O., PLLC

  • Primary Care Clinic/Center
  • Irving, TX
  • NPI 1720350531
  NPD (past)
• Mobile MD PA

  • Internal Medicine Physician
  • McKinney, TX
  • NPI 1306933718
  NPD (past)
• Newkirk Family Practice Clinic LLC

  • Family Medicine Physician
  • Mesquite, TX
  • NPI 1558466276
  NPD (past)
• Primamed Physicians PLLC

  • Urgent Care Clinic/Center
  • Dallas, TX
  • NPI 1164494068
  NPD (past)
• Primamed Physicians PLLC

  • Urgent Care Clinic/Center
  • Plano, TX
  • NPI 1619922549
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1891848412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 MAIN ST STE 112",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750562853",
            "telephone_number": "972-370-0004",
            "fax_number": "972-370-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 MAIN ST STE 112",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750562853",
            "telephone_number": "972-370-0004",
            "fax_number": "972-370-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JOSEPH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L6563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167574603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167574602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orion Physician Group PLLC
• Sandra Oswald, LPC
• Andrew Alexander Oteo, D.C.
• Isabella Pack
• Parc Surgical ASC
• Parkdental PLLC
• Estefani L Parra Galindo
• Anisha Patel
• Dipesh Patel, PHARMD
• Utkarsh Patel

• Family Medicine Physician in The Colony, TX
• Providers in The Colony, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.