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DR. WILLIAM MICHAEL PARK M.D.
NPI 1497440325
Student in an Organized Health Care Education/Training Program in Greenville, NC

Active since April 06, 2023PECOS Enrolled
517 MOYE BLVD, GREENVILLE, NC 27834(252) 744-1111 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. William Michael Park M.d. NPPES

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

DR. WILLIAM MICHAEL PARK M.D. (NPI 1497440325) is an individual student in an organized health care education/training program in Greenville, North Carolina and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497440325
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. WILLIAM MICHAEL PARKCredential: M.D.
Location Address517 MOYE BLVDGreenville, NC 27834-2849
Mailing Address2100 Stantonsburg RdGreenville, NC 27834-2818
Phone(252) 744-1111
Sole ProprietorNo
Enumeration DateApril 6, 2023
NPPES CertifiedApril 6, 2023
✔ NPI 1497440325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
517 MOYE BLVD, Greenville, NC 27834
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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. William Michael Park M.d. 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.

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.

HEIDI KENEFICK DO
Pediatrics
517 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-2335
EAST CAROLINA UNIVERSITY
Pediatrics
517 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-0766
DR. ALEXANDRA HELENE FELIX DO
Pediatrics
517 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-2335
DR. JENNIFER E CROTTY MD
Pediatrics
517 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-2335
MR. JOHN DAVID TOWNSEND M.D.
Pediatrics
517 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-2335
DAVID ANTHONY RODEBERG MD
Surgery (Pediatric Surgery)
517 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-2832
DR. PAMELA CHRISTINE HURDLE SETTLE PHARMD/MBA
Pharmacist
517 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-2721
MARY WINDHAM LENFESTEY M.D.
Pediatrics
517 MOYE BLVD
GREENVILLE, NC 27834
Pitt County (252) 744-2335

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 William Park's NPI number?

The NPI number for William Park is 1497440325. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is William Park located?

William Park practices at 517 Moye Blvd, Greenville, NC 27834. The listed phone number is (252) 744-1111.

What is William Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is William Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for William Park was last updated on April 6, 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.