Individual provider Active NPI

Won Hee Park, D.O.

  • Internal Medicine Physician
  • Converse, TX
National Provider Identifier
1932337896
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P3217 Issued in TX
Practice address
7585 Kitty Hawk, Suite 201
Converse, TX 78109
Phone
(210) 468-2323
NPI assigned
Jun 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P3217 TX Primary

Addresses

Primary practice location

7585 Kitty Hawk, Suite 201
Converse, TX 78109

Mailing address

7585 Kitty Hawk, Suite 201
Converse, TX 78109
Phone (210) 468-2323

Other practice location 1

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000

Other practice location 2

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000

Other identifiers 1

IdentifierTypeStateIssuer
297852001MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120628000536 TX Practitioner - Internal Medicine 8123283918 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River City Internal MedicineGroup PAC ID 9335670728, 2 clinicians
Wellmed Networks, Inc.Group PAC ID 6002091261, 116 clinicians

Practice addresses (Care Compare)

11212 State Hwy 151
Suite 120
San Antonio, TX 78251-4498
Phone (726) 243-8055

4330 Medical Dr
Suite 500
San Antonio, TX 78229-3318
Phone (210) 558-0122

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Sonterra Health Center Nursing home, San Antonio, TX, CCN 676158
  • Coronado at Stone Oak Nursing home, San Antonio, TX, CCN 676353
  • Pecan Valley Rehabilitation and Healthcare Nursing home, San Antonio, TX, CCN 676250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
River City Internal Medicine Internal Medicine CurrentSince Aug 27, 2024 Accepting new patients
K&S Healthcare, LLC Internal Medicine CurrentSince Dec 1, 2017 Accepting new patients
Wellmed Networks, Inc. CurrentSince Aug 18, 2022 Accepting new patients
Hamilton County Hospital District Past Accepting new patients
Guadalupe County Hospital Board Past Accepting new patients
Wellmed Medical Group, PA Internal Medicine Past Accepting new patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. Past Accepting new patients
Calavaras Creek Healthcare LLC Past Accepting new patients
Guadalupe County Hospital Board Past Accepting new patients

Locations

7585 Kitty Hawk Rd
Ste 201
Converse, TX 78109
Phone (210) 468-2333

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

11212 State Highway 151
Ste 120
San Antonio, TX 78251
Phone (210) 290-8350

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

11212 State Highway 151
Ste 2
San Antonio, TX 78251

Interoperability endpoints

  • Direct secure messaging: won.park@wellmed.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/24630/brand/1/csg/1/fhir/r4
  • Direct secure messaging: won.park.1@24630.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6170/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1932337896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7585 KITTY HAWK, SUITE 201",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "78109",
            "telephone_number": "210-468-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7585 KITTY HAWK, SUITE 201",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "78109",
            "telephone_number": "210-468-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294402",
            "country_code": "US",
            "telephone_number": "210-358-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4502 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294402",
            "country_code": "US",
            "telephone_number": "210-358-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "WON",
        "middle_name": "HEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P3217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297852001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Converse, TX

Sources for this page

Verify at the official NPI Registry.