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CHAN PARK MD INC
NPI 1104865849
Family Medicine in Slatersville, RI

Active since June 06, 2006
905 VICTORY HIGHWAY, SLATERSVILLE, RI 02876(401) 762-2728(401) 762-0473 Get Directions Write a Review

NPPES record last updated: February 26, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chan Park Md Inc NPPES

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

CHAN PARK MD INC (NPI 1104865849) is a healthcare organization registered as a family medicine in Slatersville, Rhode Island and active in the NPI registry since June 2006. The organization lists Chan Hoon Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1104865849
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHAN PARK MD INC
Location Address905 VICTORY HIGHWAYSlatersville, RI 02876
Mailing AddressPo Box 177, 905 Victory HwySlatersville, RI 02876 · (401) 762-2728 · Fax (401) 762-0473
Phone(401) 762-2728
Fax(401) 762-0473
Organization SubpartNo
Authorized OfficialChan Hoon ParkOwner · (401) 762-2728
Enumeration DateJune 6, 2006
Last NPPES UpdateFebruary 26, 2008
✔ NPI 1104865849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in RI · MD5083
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
905 VICTORY HIGHWAY, Slatersville, RI 02876
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Other Identifiers 8

Other404332Tufts
Medicaid9001260RI
Other12601RI · Blue Cross Blue Shield
Other0100118United Healthcare
Medicare UPINC89954
OtherAA26737Havard Pilgrim
Other001727RI · Bcbs Blue Chip
Other0101561MA · Evercare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

MRS. AMY LEE GLAUDE-MARCOS P.T.
Physical Therapist
905 VICTORY HIGHWAY
SLATERSVILLE, RI 02876
Providence County (401) 762-5390
COMPREHENSIVE PHYSICAL THERAPY
Physical Therapist
905 VICTORY HIGHWAY
SLATERSVILLE, RI 02876
Providence County (401) 762-5390
MR. CRAIG ANTHONY SIMPSON M.S., P.T.
Physical Therapist
905 VICTORY HIGHWAY
SLATERSVILLE, RI 02876
Providence County (401) 762-5390

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 Chan Park MD Inc's NPI number?

The NPI number for Chan Park MD Inc is 1104865849. It was assigned to this organization in the NPPES registry on June 6, 2006.

Where is Chan Park MD Inc located?

Chan Park MD Inc is located at 905 Victory Highway, Slatersville, RI 02876. The listed phone number is (401) 762-2728.

What is Chan Park MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Chan Park MD Inc was last updated on February 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.