SOON SIK PARK
NPI 1437623725
Acupuncturist in Ellicott City, MD

Q: What is Soon Park's NPI number?

The NPI number for Soon Park is 1437623725. It was assigned to this individual provider in the NPPES registry on January 20, 2019.

Q: What is Soon Park's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

Q: When was this NPI record last updated?

The NPPES record for Soon Park was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 January 20, 2019PECOS Enrolled

3344 SAINT JOHNS LN, ELLICOTT CITY, MD 21042(301) 814-1211(240) 720-4900 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2020, Jan 20, 2019 (2 updates tracked since 2019).

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About Soon Sik Park NPPES

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

SOON SIK PARK (NPI 1437623725) is an individual acupuncturist in Ellicott City, Maryland, licensed in Maryland (U02475) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1437623725

Entity TypeIndividualMale

Primary Taxonomy171100000X

Provider Legal NameSOON SIK PARK

Location Address3344 SAINT JOHNS LNEllicott City, MD 21042-2601

Mailing Address3344 Saint Johns LnEllicott City, MD 21042-2601 · (301) 814-1211 · Fax (240) 720-4900

Phone(301) 814-1211

Fax(240) 720-4900

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJanuary 20, 2019

Last NPPES UpdateAugust 3, 20202 updates tracked since enumeration

NPPES CertifiedAugust 3, 2020

✔ NPI 1437623725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers

Taxonomy Code171100000X

License✔ Licensed in MD · U02475

Definition

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

3344 SAINT JOHNS LN, Ellicott City, MD 21042

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soon Sik Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668957234

PECOS Enrollment IDI20260401000178

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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHALOM EASTERN MEDICINE,INC

Acupuncturist

3344 SAINT JOHNS LN
ELLICOTT CITY, MD 21042

Howard County (301) 814-1211

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 Soon Park's NPI number?

The NPI number for Soon Park is 1437623725. It was assigned to this individual provider in the NPPES registry on January 20, 2019.

Where is Soon Park located?

Soon Park practices at 3344 Saint Johns Ln, Ellicott City, MD 21042. The listed phone number is (301) 814-1211.

What is Soon Park's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

Is Soon Park enrolled in Medicare?

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

What insurance does Soon Park accept?

Health plans from Providence Health Plan list Soon 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 Soon Park was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.