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J H PARK MD PC
NPI 1164619623
Internal Medicine - Nephrology in Roseville, MI

Active since September 28, 2007
25710 KELLY RD, STE 3, ROSEVILLE, MI 48066(586) 772-2600(586) 772-5289 Get Directions Write a Review

NPPES record last updated: September 28, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About J H Park Md Pc NPPES

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

J H PARK MD PC (NPI 1164619623) is a healthcare organization registered as a nephrology in Roseville, Michigan and active in the NPI registry since September 2007. The organization lists Joung H Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1164619623
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameJ H PARK MD PC
Location Address25710 KELLY RD, STE 3Roseville, MI 48066-4959
Mailing Address25710 Kelly Rd, Ste 3Roseville, MI 48066-4959 · (586) 772-2600 · Fax (586) 772-5289
Phone(586) 772-2600
Fax(586) 772-5289
Organization SubpartNo
Authorized OfficialJoung H ParkOwner · (586) 772-2600
Enumeration DateSeptember 28, 2007
✔ NPI 1164619623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
25710 KELLY RD, Roseville, MI 48066
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN0P18030MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

JAGRUTI PATEL
Nurse Practitioner (Adult Health)
25710 KELLY RD, SUITE 3
ROSEVILLE, MI 48066
Macomb County (586) 772-2600
DR. BASEM ALMASRI M.D.
Internal Medicine
25710 KELLY RD, STE 3
ROSEVILLE, MI 48066
Macomb County (586) 772-2600
MR. FRANCISCO J RODRIGUEZ MD, P.C.
Surgery (Vascular Surgery)
25710 KELLY RD, SUITE 2
ROSEVILLE, MI 48066
Macomb County (586) 445-8030
JILLIAN TACIA R.D.
Dietitian, Registered
25710 KELLY RD, SUITE 3
ROSEVILLE, MI 48066
Macomb County (586) 772-2600
EASTLAND DIAGNOSTIC PC
Clinic/Center (Radiology)
25710 KELLY RD
ROSEVILLE, MI 48066
Macomb County (586) 779-4610
INNOVATION MEDICINE, PLLC
Internal Medicine
25710 KELLY RD, STE 3
ROSEVILLE, MI 48066
Macomb County (586) 772-2600
BORIVOJE TRIFUNOVIC MD
Internal Medicine
25710 KELLY RD, SUITE 3
ROSEVILLE, MI 48066
Macomb County (586) 772-2600
ADHRAA ALSANA
Nurse Practitioner (Family)
25710 KELLY RD
ROSEVILLE, MI 48066
Macomb County (586) 772-2600

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 J H Park MD PC's NPI number?

The NPI number for J H Park MD PC is 1164619623. It was assigned to this organization in the NPPES registry on September 28, 2007.

Where is J H Park MD PC located?

J H Park MD PC is located at 25710 Kelly Rd Ste 3, Roseville, MI 48066. The listed phone number is (586) 772-2600.

What is J H Park MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for J H Park MD PC was last updated on September 28, 2007. 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.