ROGER W PARK MD
NPI 1174623409
Internal Medicine - Gastroenterology in Marshfield, WI

Q: What is Roger Park's NPI number?

The NPI number for Roger Park is 1174623409. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Q: What is Roger Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Roger Park was last updated on September 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since September 25, 2006

1000 N OAK AVE, MARSHFIELD, WI 54449(715) 387-5251 Get Directions Write a Review

NPPES record last updated: September 28, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Roger W Park Md NPPES

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

ROGER W PARK MD (NPI 1174623409) is an individual gastroenterology provider in Marshfield, Wisconsin, licensed in Wisconsin (29100) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1174623409

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameROGER W PARKCredential: MD

Location Address1000 N OAK AVEMarshfield, WI 54449-5703

Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511

Phone(715) 387-5251

Sole ProprietorNo

Enumeration DateSeptember 25, 2006

Last NPPES UpdateSeptember 28, 2010

✔ NPI 1174623409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in WI · 29100

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedPediatrics · Pediatric GastroenterologyTaxonomy 2080P0206X · License 29100 (WI)

1000 N OAK AVE, Marshfield, WI 54449

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Other Identifiers 3

Medicaid31377900WI

Medicare UPINB55594

Medicare ID-Type Unspecified019172200WI

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.

ALISON RAE SAMPSON D.O.

Obstetrics & Gynecology