Individual
DR. JINWOOK PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01100306A
IN
207R00000X
Internal Medicine Physician
57.245872
OH
207R00000X
Internal Medicine Physician
57549
KY
207RN0300X
Nephrology Physician
Primary
01100306A
IN
207RN0300X
Nephrology Physician
Primary
57549
KY
207RN0300X
Nephrology Physician
MT224405
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300074243
—
IN
Enumeration date
07/04/2018
Last updated
08/14/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up