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DR. YONGMOON ANDREW PARK MD
NPI 1154334670
Specialist in Dayton, WA

Active since August 14, 2006PECOS Enrolled
1012 S 3RD ST, DAYTON, WA 99328(509) 382-3200(509) 382-2748 Get Directions Write a Review

NPPES record last updated: December 31, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Yongmoon Andrew Park Md NPPES

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

DR. YONGMOON ANDREW PARK MD (NPI 1154334670) is an individual specialist in Dayton, Washington, licensed in Washington (MD60173758) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Garfield County Public Hospital District #1, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1154334670
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. YONGMOON ANDREW PARKCredential: MD
Location Address1012 S 3RD STDayton, WA 99328-1606
Mailing Address1012 S 3rd StDayton, WA 99328-1606 · (509) 382-3200 · Fax (509) 382-2748
Phone(509) 382-3200
Fax(509) 382-2748
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateAugust 14, 2006
Last NPPES UpdateDecember 31, 2012
✔ NPI 1154334670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · MD60173758
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedFamily MedicineTaxonomy 207Q00000X · License A48817 (CA)
1012 S 3RD ST, Dayton, WA 99328
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINE93201WA
Medicare PINWA48817MWA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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. Yongmoon Andrew Park Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375526957
PECOS Enrollment IDI20040612000746, I20110425000579
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
26 services13 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Garfield County Public Hospital District #1

Critical Access Hospitals · Pomeroy, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501301
Location66 North Sixth StreetPomeroy, WA 99347 · Garfield County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers24 claims72 services$6.55 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers12 claims12 services$2.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers16 claims24 services$1.22 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers44 claims44 services$18.35 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier22 claims22 services$48.04 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$768.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MICHAEL LUCE M.D.
Family Medicine
1012 S 3RD ST
DAYTON, WA 99328
Columbia County (509) 382-2531
KIM IRENE EMERY PA-C
Physician Assistant
1012 S 3RD ST
DAYTON, WA 99328
Columbia County (509) 382-2531
SHERENA GWENEVERE CLEMENTS RN
Clinical Nurse Specialist (Emergency)
1012 S 3RD ST
DAYTON, WA 99328
Columbia County (509) 382-3218
JENNIFER LEA BURNETT NP
Nurse Practitioner
1012 S 3RD ST
DAYTON, WA 99328
Columbia County (509) 382-2531
KENNETH DYBALL PAC
Family Medicine
1012 S 3RD ST
DAYTON, WA 99328
Columbia County (509) 382-2531
LAURENCE A EIDT M.D.
Family Medicine
1012 S 3RD ST
DAYTON, WA 99328
Columbia County (509) 382-2531
MICHELLE JENKINS ARNP
Nurse Practitioner (Family)
1012 S 3RD ST
DAYTON, WA 99328
Columbia County (509) 382-3200
KAYLYN RUTHERFORD DNP
Registered Nurse (Administrator)
1012 S 3RD ST
DAYTON, WA 99328
Columbia County (509) 382-3200

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 Yongmoon Park's NPI number?

The NPI number for Yongmoon Park is 1154334670. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Yongmoon Park located?

Yongmoon Park practices at 1012 S 3rd St, Dayton, WA 99328. The listed phone number is (509) 382-3200.

What is Yongmoon Park's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Yongmoon Park enrolled in Medicare?

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

What insurance does Yongmoon Park accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Yongmoon Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Yongmoon Park affiliated with any hospitals?

According to CMS data, Yongmoon Park is affiliated with Garfield County Public Hospital District #1.

When was this NPI record last updated?

The NPPES record for Yongmoon Park was last updated on December 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.