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HYUCKWON PARK PA-C
NPI 1073348876
Physician Assistant in Manassas, VA

Active since September 03, 2024PECOS Enrolled
8609 SUDLEY RD STE 105, MANASSAS, VA 20110(703) 393-8883(866) 765-1362 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2026, Sep 3, 2024 (2 updates tracked since 2024).

About Hyuckwon Park Pa-c NPPES

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

HYUCKWON PARK PA-C (NPI 1073348876) is an individual physician assistant in Manassas, Virginia, licensed in Virginia (0110011559) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073348876
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameHYUCKWON PARKCredential: PA-C
Location Address8609 SUDLEY RD STE 105Manassas, VA 20110-4500
Mailing Address5100 Woodmere Dr # 320Centreville, VA 20120-4325 · (726) 400-3708
Phone(703) 393-8883
Fax(866) 765-1362
Sole ProprietorNo
Enumeration DateSeptember 3, 2024
Last NPPES UpdateFebruary 24, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2026
✔ NPI 1073348876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110011559
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8609 SUDLEY RD STE 105, Manassas, VA 20110
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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)

Hyuckwon Park Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

ANGELA ANN RUSSELL FLOYD
Nurse Practitioner
8609 SUDLEY RD STE 105
MANASSAS, VA 20110
Manassas City (703) 393-8883
TOM WOO SEONG JEONG
Physician Assistant
8609 SUDLEY RD STE 105
MANASSAS, VA 20110
Manassas City (703) 393-8883
DR. JOSEPH ROSANA O.D
Optometrist
8609 SUDLEY RD STE 105
MANASSAS, VA 20110
Manassas City (703) 393-8883
BRIANNA MAIATICO
Physician Assistant
8609 SUDLEY RD STE 105
MANASSAS, VA 20110
Manassas City (703) 393-8883
NAVNEET GILL PA-C
Physician Assistant
8609 SUDLEY RD STE 105
MANASSAS, VA 20110
Manassas City (703) 393-8883
DR. ABHAY VIVEK AGGROIA M.D.
Internal Medicine
8609 SUDLEY RD STE 105
MANASSAS, VA 20110
Manassas City (703) 393-8883
MRS. ERIN SCHOFIELD
Physician Assistant
8609 SUDLEY RD STE 105
MANASSAS, VA 20110
Manassas City (703) 393-8883
REINALDO A MORALES NP
Nurse Practitioner (Family)
8609 SUDLEY RD STE 105
MANASSAS, VA 20110
Manassas City (703) 393-8883

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hyuckwon Park's NPI number?

The NPI number for Hyuckwon Park is 1073348876. It was assigned to this individual provider in the NPPES registry on September 3, 2024.

Where is Hyuckwon Park located?

Hyuckwon Park practices at 8609 Sudley Rd Ste 105, Manassas, VA 20110. The listed phone number is (703) 393-8883.

What is Hyuckwon Park's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Hyuckwon Park enrolled in Medicare?

Yes. Hyuckwon Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hyuckwon Park was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.