Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SOON PARK MD
NPI 1104819135
Anesthesiology in Fort Thomas, KY

Active since August 24, 2005
85 N GRAND AVE, FORT THOMAS, KY 41075(513) 672-3309(513) 672-3323 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Soon Park Md NPPES

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

SOON PARK MD (NPI 1104819135) is an individual anesthesiology provider in Fort Thomas, Kentucky, licensed in Kentucky (18823) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1104819135
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameSOON PARKCredential: MD
Location Address85 N GRAND AVEFort Thomas, KY 41075-1793
Mailing Address11490 Springfield PikeCincinnati, OH 45246-3524 · (513) 672-3309 · Fax (513) 672-3323
Fax(513) 672-3323
Sole ProprietorNo
Enumeration DateAugust 24, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1104819135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in KY · 18823
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
85 N GRAND AVE, Fort Thomas, KY 41075

Other Identifiers 1

Medicaid64188238KY

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.

Emergency Medicine
85 N GRAND AVE
FORT THOMAS, KY 41075
Physician Assistant
85 N GRAND AVE
FORT THOMAS, KY 41075
Pharmacist
85 N GRAND AVE
FORT THOMAS, KY 41075
Physical Therapist
85 N GRAND AVE
FORT THOMAS, KY 41075
Emergency Medicine
85 N GRAND AVE
FORT THOMAS, KY 41075
Family Medicine (Geriatric Medicine)
85 N GRAND AVE
FORT THOMAS, KY 41075
Respiratory Therapist, Certified
85 N GRAND AVE
FORT THOMAS, KY 41075
Family Medicine (Hospice and Palliative Medicine)
85 N GRAND AVE
FORT THOMAS, KY 41075

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 Soon Park's NPI number?

The NPI number for Soon Park is 1104819135. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Soon Park located?

Soon Park practices at 85 N Grand Ave, Fort Thomas, KY 41075. The listed phone number is (513) 672-3309.

What is Soon Park's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

When was this NPI record last updated?

The NPPES record for Soon Park was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.