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HAE JEAN PARK MD, PHD
NPI 1184426645
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since March 26, 2025PECOS Enrolled
959 NE PACIFIC ST. BOX 356540, SEATTLE, WA 98195(206) 543-2474 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Hae Jean Park Md, Phd NPPES

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

HAE JEAN PARK MD, PHD (NPI 1184426645) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184426645
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHAE JEAN PARKCredential: MD, PHD
Location Address959 NE PACIFIC ST. BOX 356540Seattle, WA 98195
Mailing Address1959 Ne Pacific St Box 356540Seattle, WA 98195-0001
Phone(206) 543-2474
Sole ProprietorNo
Enumeration DateMarch 26, 2025
Last NPPES UpdateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
✔ NPI 1184426645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

959 NE PACIFIC ST. BOX 356540, Seattle, WA 98195
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hae Jean Park Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Hae Park's NPI number?

The NPI number for Hae Park is 1184426645. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Hae Park located?

Hae Park practices at 959 NE Pacific St. Box 356540, Seattle, WA 98195. The listed phone number is (206) 543-2474.

What is Hae Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Hae Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Hae Park was last updated on March 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.