EUNICE PARK PA-C
NPI 1366911604
Physician Assistant - Medical in Puyallup, WA

Active since November 15, 2018PECOS EnrolledAccepts Medicare Assignment
1703 S MERIDIAN STE 101, PUYALLUP, WA 98371(253) 848-3000(253) 840-6514 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2023, Nov 18, 2018 (2 updates tracked since 2018).

About Eunice Park Pa-c NPPES

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

EUNICE PARK PA-C (NPI 1366911604) is an individual medical provider in Puyallup, Washington, licensed in Washington (PA60920872) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Tacoma General Allenmore Hospital, and is a graduate of University Of Washington School Of Medicine (2018).

NPPES Registry Identity

NPI1366911604
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameEUNICE PARKCredential: PA-C
Location Address1703 S MERIDIAN STE 101Puyallup, WA 98371-7590
Mailing Address1703 S Meridian Ste 101Puyallup, WA 98371-7590 · (253) 848-3000 · Fax (253) 840-6514
Fax(253) 840-6514
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2018
Enumeration DateNovember 15, 2018
Last NPPES UpdateJuly 19, 20232 updates tracked since enumeration
NPPES CertifiedJuly 19, 2023
NPI 1366911604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WA · PA60920872
Also ListedPhysician AssistantTaxonomy 363A00000X · License 1155890 (WA)
1703 S MERIDIAN STE 101, Puyallup, WA 98371

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Eunice Park Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466792619
PECOS Enrollment IDI20190326000171
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.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,126 services185 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
399 services308 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
316 services236 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
251 services181 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
195 services165 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
170 services137 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

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.

Physician Assistant
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Optometrist
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Physician Assistant
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Nurse Practitioner (Family)
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Nurse Anesthetist, Certified Registered
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Ophthalmology
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Optometrist
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Pathology (Anatomic Pathology & Clinical Pathology)
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371

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 Eunice Park's NPI number?

The NPI number for Eunice Park is 1366911604. It was assigned to this individual provider in the NPPES registry on November 15, 2018.

Where is Eunice Park located?

Eunice Park practices at 1703 S Meridian Ste 101, Puyallup, WA 98371. The listed phone number is (253) 848-3000.

What is Eunice Park's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Eunice Park enrolled in Medicare?

Yes. Eunice Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Eunice Park accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Eunice 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.

Is Eunice Park affiliated with any hospitals?

According to CMS data, Eunice Park is affiliated with Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Eunice Park was last updated on July 19, 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.