DR. CHAN J. PARK MD
NPI 1306894332
Surgery in Vermillion, SD

Active since May 04, 2006
20 S PLUM ST, VERMILLION, SD 57069(605) 624-9111(605) 624-6636 Get Directions Write a Review

NPPES record last updated: September 12, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Chan J. Park Md NPPES

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

DR. CHAN J. PARK MD (NPI 1306894332) is an individual surgery provider in Vermillion, South Dakota, licensed in South Dakota (5009) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1306894332
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. CHAN J. PARKCredential: MD
Location Address20 S PLUM STVermillion, SD 57069-3346
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-6512
Fax(605) 624-6636
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateSeptember 12, 2013
NPI 1306894332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in SD · 5009
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

20 S PLUM ST, Vermillion, SD 57069

Other Identifiers 3

Medicare PINS42295SD
Medicaid7301822SD
Medicare UPIND73953SD

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.

Home Health
20 S PLUM ST
VERMILLION, SD 57069
Family Medicine
20 S PLUM ST
VERMILLION, SD 57069
Family Medicine
20 S PLUM ST
VERMILLION, SD 57069
Audiologist
20 S PLUM ST
VERMILLION, SD 57069
Emergency Medicine
20 S PLUM ST
VERMILLION, SD 57069
Family Medicine
20 S PLUM ST
VERMILLION, SD 57069
Pharmacy (Institutional Pharmacy)
20 S PLUM ST
VERMILLION, SD 57069
Physician Assistant
20 S PLUM ST
VERMILLION, SD 57069

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 Chan Park's NPI number?

The NPI number for Chan Park is 1306894332. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Chan Park located?

Chan Park practices at 20 S Plum St, Vermillion, SD 57069. The listed phone number is (605) 624-9111.

What is Chan Park's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Chan Park was last updated on September 12, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.