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DR. STANLEY S. PARK MD
NPI 1235294943
Pediatrics in Knoxville, TN

Active since December 22, 2006
5300 CLINTON PLAZA DRIVE, KNOXVILLE, TN 37912(865) 688-7563(865) 688-6252 Get Directions Write a Review

NPPES record last updated: March 12, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Stanley S. Park Md NPPES

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

DR. STANLEY S. PARK MD (NPI 1235294943) is an individual pediatrics provider in Knoxville, Tennessee, licensed in Tennessee (MD0000013517) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1235294943
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. STANLEY S. PARKCredential: MD
Location Address5300 CLINTON PLAZA DRIVEKnoxville, TN 37912-3830
Mailing Address5300 Clinton Plaza DriveKnoxville, TN 37912-3830 · (865) 688-7563 · Fax (865) 688-6252
Phone(865) 688-7563
Fax(865) 688-6252
Sole ProprietorYes
Enumeration DateDecember 22, 2006
Last NPPES UpdateMarch 12, 2014
✔ NPI 1235294943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TN · MD0000013517
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.
5300 CLINTON PLAZA DRIVE, Knoxville, TN 37912
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Other Names 1

Former Name (1)Dr. Soung-ho Park M.d.

Other Identifiers 2

Medicaid3190065TN
Medicare UPINB04409

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

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 Stanley Park's NPI number?

The NPI number for Stanley Park is 1235294943. It was assigned to this individual provider in the NPPES registry on December 22, 2006. The provider is also known as Dr. Soung-Ho Park M.D..

Where is Stanley Park located?

Stanley Park practices at 5300 Clinton Plaza Drive, Knoxville, TN 37912. The listed phone number is (865) 688-7563.

What is Stanley Park's specialty?

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

What insurance does Stanley Park accept?

Health plans from BlueCross BlueShield of Tennessee list Stanley Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stanley Park was last updated on March 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.