DR. SUNG EUN PARK MD
NPI 1215103171
Pediatrics in Issaquah, WA

Q: What is Sung Park's NPI number?

The NPI number for Sung Park is 1215103171. It was assigned to this individual provider in the NPPES registry on May 1, 2008.

Q: What is Sung Park's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Sung Park was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 May 01, 2008

1505 NW GILMAN BLVD STE 8, ISSAQUAH, WA 98027(425) 357-7082(425) 437-5259 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Sung Eun Park Md NPPES

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

DR. SUNG EUN PARK MD (NPI 1215103171) is an individual pediatrics provider in Issaquah, Washington, licensed in Washington (MD61491409) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1215103171

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. SUNG EUN PARKCredential: MD

Location Address1505 NW GILMAN BLVD STE 8Issaquah, WA 98027-5398

Mailing Address1505 Nw Gilman Blvd Ste 8Issaquah, WA 98027-5398 · (425) 357-7082 · Fax (425) 437-5259

Phone(425) 357-7082

Fax(425) 437-5259

Sole ProprietorYes

Enumeration DateMay 1, 2008

Last NPPES UpdateSeptember 26, 2024

NPPES CertifiedSeptember 26, 2024

✔ NPI 1215103171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in WA · MD61491409✔ Licensed in UT · 6353386-1205✔ Licensed in IL · 036120274✔ Licensed in ID · M11886

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1505 NW GILMAN BLVD STE 8, Issaquah, WA 98027

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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.

LIGHTHOUSE PEDIATRIC MEDICINE PLLC

Pediatrics

1505 NW GILMAN BLVD STE 8
ISSAQUAH, WA 98027

King County (425) 243-3599

DARLENE SUSAN GREEN LMP

Massage Therapist

1505 NW GILMAN BLVD STE 8
ISSAQUAH, WA 98027

King County (425) 313-9222

MARIA ZULEMA ANCIRA LMP

Massage Therapist

1505 NW GILMAN BLVD STE 8
ISSAQUAH, WA 98027

King County (425) 313-9222

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 Sung Park's NPI number?

The NPI number for Sung Park is 1215103171. It was assigned to this individual provider in the NPPES registry on May 1, 2008.

Where is Sung Park located?

Sung Park practices at 1505 NW Gilman Blvd Ste 8, Issaquah, WA 98027. The listed phone number is (425) 357-7082.

What is Sung Park's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Sung Park was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.