JULIE RUGGIERI PARK MD
NPI 1356422612
Pediatrics - Pediatric Hematology-Oncology in Memphis, TN

Q: What is Julie Park's NPI number?

The NPI number for Julie Park is 1356422612. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Q: What is Julie Park's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Julie Park was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 17, 2006PECOS Enrolled

260 DANNY THOMAS PLACE, MEMPHIS, TN 38105(901) 595-4329 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Julie Ruggieri Park Md NPPES

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

JULIE RUGGIERI PARK MD (NPI 1356422612) is an individual pediatric hematology-oncology provider in Memphis, Tennessee, licensed in Washington (MD00028451) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356422612

Entity TypeIndividualFemale

Primary Taxonomy2080P0207X

Provider Legal NameJULIE RUGGIERI PARKCredential: MD

Location Address260 DANNY THOMAS PLACEMemphis, TN 38105

Mailing Address260 Danny Thomas PlaceMemphis, TN 38105

Phone(901) 595-4329

Sole ProprietorNo

Enumeration DateOctober 17, 2006

Last NPPES UpdateJuly 18, 2023

NPPES CertifiedJuly 12, 2023

✔ NPI 1356422612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in WA · MD00028451

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

260 DANNY THOMAS PLACE, Memphis, TN 38105

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Other Identifiers 1

Medicaid8154031WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julie Ruggieri Park Md 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 Julie Park's NPI number?

The NPI number for Julie Park is 1356422612. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Julie Park located?

Julie Park practices at 260 Danny Thomas Place, Memphis, TN 38105. The listed phone number is (901) 595-4329.

What is Julie Park's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Julie Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Julie Park was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.