Audrey Y Park, MD,PH.D

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

MD60077988 Issued in WA

Practice address

9725 3Rd Ave NE Ste 500
Seattle, WA 98115-2024

Phone

(206) 527-1200

Fax

(206) 527-2514

NPI assigned

May 23, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26116/brand/1/csg/1/fhir/r4

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.

• Northwest Asthma & Allergy Center

  • Allergy & Immunology Physician
  • Redmond, WA
  • NPI 1760620462

  Allergy & Immunology

  NPD
• Northwest Asthma & Allergy Center

  • Allergy & Immunology Physician
  • Richland, WA
  • NPI 1154496537

  Allergy & Immunology

  NPD (past)
• Northwest Asthma & Allergy Center

  • Allergy & Immunology Physician
  • Mount Vernon, WA
  • NPI 1255406617

  Allergy & Immunology

  NPD (past)
• Northwest Asthma & Allergy Center

  • Allergy & Immunology Physician
  • Everett, WA
  • NPI 1275608648

  Allergy & Immunology

  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1902016314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 3RD AVE NE STE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152024",
            "telephone_number": "206-527-1200",
            "fax_number": "206-527-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 3RD AVE NE STE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152024",
            "telephone_number": "206-527-1200",
            "fax_number": "206-527-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "AUDREY",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD,PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "WA",
            "license": "MD60077988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS LICENSE",
            "identifier": "MD60077988",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Park & Smith, PLLC
• Park Pharmacy Inc
• Park Place RHF Housing
• Olivia Park-Sargent, LMFT, PMH-C
• Alexander Jungho Park, MD
• Bohye Park
• Brenda Park, DO
• Brian Park, MD
• Chankue Park, MD
• Christine Park, MD

• All providers in Seattle, WA
• Allergy & Immunology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.