DR. SANG HYOUNG PARK MD
NPI 1073043105
Student in an Organized Health Care Education/Training Program in Rochester, MN

Q: What is Sang Hyoung Park's NPI number?

The NPI number for Sang Hyoung Park is 1073043105. It was assigned to this individual provider in the NPPES registry on June 12, 2017.

Q: What is Sang Hyoung Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Sang Hyoung Park was last updated on June 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 12, 2017PECOS Enrolled

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: June 12, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Sang Hyoung Park Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SANG HYOUNG PARK MD (NPI 1073043105) is an individual student in an organized health care education/training program in Rochester, Minnesota and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073043105

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. SANG HYOUNG PARKCredential: MD

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing Address122 Avalon Cove Cir NwRochester, MN 55901-8495

Phone(507) 284-2511

Sole ProprietorNo

Enumeration DateJune 12, 2017

✔ NPI 1073043105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

200 1ST ST SW, Rochester, MN 55905

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sang Hyoung Park Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY LEASURE MD

Internal Medicine