Organization
PARK PAIN & REHAB CENTER INC
Active
Organization
PARK PAIN & REHAB CENTER INC
Active
Other names
John I Park MD
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN I PARK MD (MEDICAL DOCTOR PRIVATE PRACTICE)
(724) 887-7421
Entity
Organization
Contact information
Practice address
109 CROSSROADS ROAD, SUITE 6, SCOTTDALE, PA 15683
(724) 887-7421
(724) 887-4145
Mailing address
109 CROSSROADS ROAD, SUITE 6, SCOTTDALE, PA 15683
(724) 887-7421
(724) 887-4145
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MD034892E
PA
208VP0014X
Interventional Pain Medicine Physician
MD034892E
PA
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
MD034892E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011173760007
—
PA
01
—
197526
HIGHMARK
—
Enumeration date
12/28/2006
Last updated
09/11/2025
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