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DR. EUN SOO DAVID PARK M.D.
NPI 1407205743
Family Medicine in Tucson, AZ

Active since June 07, 2016PECOS Enrolled
4175 S ALAMO AVE, TUCSON, AZ 85707(520) 228-2778 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 21, 2026, Aug 12, 2024, Jul 29, 2021 and 1 more (4 updates tracked since 2019).

About Dr. Eun Soo David Park M.d. NPPES

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

DR. EUN SOO DAVID PARK M.D. (NPI 1407205743) is an individual family medicine provider in Tucson, Arizona, licensed in Michigan (4301116860) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tucson, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1407205743
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EUN SOO DAVID PARKCredential: M.D.
Location Address4175 S ALAMO AVETucson, AZ 85707-4402
Mailing Address310 N Wilmot Rd Ste 301Tucson, AZ 85711-2628 · (520) 771-6675 · Fax (520) 771-9507
Phone(520) 228-2778
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 7, 2016
Last NPPES UpdateApril 21, 20264 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1407205743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301116860
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4175 S ALAMO AVE, Tucson, AZ 85707
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Secondary Practice Location 1

Location 1310 N Wilmot Rd Ste 301Tucson, AZ 85711-2628 · Phone (520) 771-6675 · Fax (520) 771-9507

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eun Soo David Park M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719469030
PECOS Enrollment IDI20260623000976
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. JACOB MACK DMD
Dentist (General Practice)
4175 S ALAMO AVE
DAVIS MONTHAN AFB, AZ 85707
Pima County (719) 333-5192
NANCY CHRISTY N.P.
Nurse Practitioner (Women's Health)
4175 S ALAMO AVE, BUILDING 400
DM AFB, AZ 85707
Pima County (520) 228-2665
DR. ELIZABETH ROSE PHILLIPS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4175 S ALAMO AVE
TUCSON, AZ 85707
Pima County (520) 228-4357
MICHELLE MCLOUGHLIN LCSW
Social Worker (Clinical)
4175 S ALAMO AVE
TUCSON, AZ 85707
Pima County (520) 228-2104
DR. ALLAN CURTISS BUSHNELL JR. MD, MSPH
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
4175 S ALAMO AVE, DAVIS-MONTHAN AIR FORCE BASE
TUCSON, AZ 85707
Pima County (520) 228-2720
DR. CARL WAYNE DASSE MD
Family Medicine
4175 S ALAMO AVE
DM AFB, AZ 85707
Pima County (520) 228-2600
DR. NICHOLAS ROBERT EINBENDER D.M.D.
Dentist (General Practice)
4175 S ALAMO AVE
TUCSON, AZ 85707
Pima County (520) 228-2778
AMANDA COOK DO
Pediatrics
4175 S ALAMO AVE
DAVIS-MONTHAN AFB, AZ 85707
Pima County (520) 228-2778

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 Eun Soo Park's NPI number?

The NPI number for Eun Soo Park is 1407205743. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Eun Soo Park located?

Eun Soo Park practices at 4175 S Alamo Ave, Tucson, AZ 85707. The listed phone number is (520) 228-2778.

What is Eun Soo Park's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Eun Soo Park enrolled in Medicare?

Yes. Eun Soo Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eun Soo Park was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.