# MR. STEVEN EARL PARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457385817
- **Gender:** Man
- **Credential:** M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 29550 | KY | — |
| 208600000X | Surgery Physician | 35065137P | OH | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 29550 | KY | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 35065137P | OH | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 03/25/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000005455 | ANTHEM | — |
| 05 | — | 0932816 | — | OH |
| 01 | — | 1820063 | UNITED HEALTHCARE | — |
| 05 | — | 200058030A | — | IN |
| 01 | — | 310804060038 | CARESOURCE | — |
| 05 | — | 64951494 | — | KY |
| 01 | — | 65137 | CHOICE CARE/HUMANA | — |
| 01 | — | 8330 | KY BCBS | — |