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CHAN W PARK M.D.
NPI 1518948827
Emergency Medicine in Portsmouth, VA

Active since November 14, 2005
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708(757) 953-1365 Get Directions Write a Review

NPPES record last updated: June 8, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Chan W Park M.d. NPPES

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

CHAN W PARK M.D. (NPI 1518948827) is an individual emergency medicine provider in Portsmouth, Virginia, licensed in Virginia (0101245598) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1518948827
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCHAN W PARKCredential: M.D.
Location Address620 JOHN PAUL JONES CIRPortsmouth, VA 23708-2111
Mailing Address5100 Bayport LndgSuffolk, VA 23435-1358 · (757) 576-5611
Phone(757) 953-1365
Sole ProprietorNo
Enumeration DateNovember 14, 2005
Last NPPES UpdateJune 8, 2009
✔ NPI 1518948827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in VA · 0101245598✔ Licensed in IN · 01054324A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
620 JOHN PAUL JONES CIR, Portsmouth, VA 23708
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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.

MEREDITH TVERDOSI CRNA
Nurse Anesthetist, Certified Registered
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-3238
ERIC FRANCIS SULAVA
Emergency Medicine
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
MRS. TIFFNY KUPER RHH
Dental Hygienist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2711
DR. LAKEISHA GOODE PHARMD
Pharmacist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-7462
JASMINE WOOD MD
Surgery
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-1895
NICHOLAS FANSELOW
General Practice
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
DR. DAVID JESSEN MD
Military Health Care Provider
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2518
MRS. WILLAR MAE BAUM L.C.S.W.
Social Worker (Clinical)
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-9767

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 Chan Park's NPI number?

The NPI number for Chan Park is 1518948827. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Chan Park located?

Chan Park practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (757) 953-1365.

What is Chan Park's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Chan Park was last updated on June 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.