Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DANIEL S PARK PA-C
NPI 1225741952
Physician Assistant in Fort Wainwright, AK

Active since December 27, 2022
4076 NEELY ROAD, FORT WAINWRIGHT, AK 99703(907) 361-4000 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 18, 2026, Dec 27, 2022 (2 updates tracked since 2022).

About Daniel S Park Pa-c NPPES

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

DANIEL S PARK PA-C (NPI 1225741952) is an individual physician assistant in Fort Wainwright, Alaska and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1225741952
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDANIEL S PARKCredential: PA-C
Location Address4076 NEELY ROADFort Wainwright, AK 99703
Mailing Address4076 Neely RoadFort Wainwright, AK 99703 · (907) 361-4000
Sole ProprietorNo
Enumeration DateDecember 27, 2022
Last NPPES UpdateSeptember 18, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1225741952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
4076 NEELY ROAD, Fort Wainwright, AK 99703

Other Identifiers 1

Other1204605Nccpa Identification Number

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.

Audiologist
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
Nurse Practitioner
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
Internal Medicine
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
Family Medicine
4076 NEELY ROAD
FT. WAINWRIGHT, AK 99703
Emergency Medicine (Emergency Medical Services)
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
Dentist
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
Nurse Practitioner (Family)
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703
Nurse Practitioner (Family)
4076 NEELY ROAD
FORT WAINWRIGHT, AK 99703

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 Daniel Park's NPI number?

The NPI number for Daniel Park is 1225741952. It was assigned to this individual provider in the NPPES registry on December 27, 2022.

Where is Daniel Park located?

Daniel Park practices at 4076 Neely Road, Fort Wainwright, AK 99703. The listed phone number is (907) 361-4000.

What is Daniel Park's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Daniel Park was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.