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DR. JAY K. PARK M.D.
NPI 1558359778
Internal Medicine in Tucson, AZ

Active since October 11, 2005
6367 E TANQUE VERDE ROAD, SUITE 200, TUCSON, AZ 85715(520) 290-5888(520) 290-5551 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jay K. Park M.d. NPPES

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

DR. JAY K. PARK M.D. (NPI 1558359778) is an individual internal medicine provider in Tucson, Arizona, licensed in Arizona (20616) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1558359778
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAY K. PARKCredential: M.D.
Location Address6367 E TANQUE VERDE ROAD, SUITE 200Tucson, AZ 85715-3832
Mailing Address6367 E Tanque Verde Road, Suite 200Tucson, AZ 85715-3832 · (520) 290-5888 · Fax (520) 290-5551
Phone(520) 290-5888
Fax(520) 290-5551
Sole ProprietorNo
Enumeration DateOctober 11, 2005
Last NPPES UpdateJuly 9, 2007
✔ NPI 1558359778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 20616
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6367 E TANQUE VERDE ROAD, Tucson, AZ 85715
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Other Identifiers 5

Other04-06481AZ · Evercare
Medicare UPINF45915AZ
Medicaid168337AZ
OtherAZ0710970AZ · Blue Cross Blue Shield
Medicare ID-Type Unspecified68458AZ

Other Providers at the Same Location NPPES 2

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

DR. NICOLE M GULLICK M.D.
Family Medicine
6367 E TANQUE VERDE ROAD, SUITE 200
TUCSON, AZ 85715
Pima County (520) 290-5888
DR. WILLIAM G. ODETTE M.D.
Internal Medicine
6367 E TANQUE VERDE ROAD, SUITE 200
TUCSON, AZ 85715
Pima County (520) 290-5888

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 Jay Park's NPI number?

The NPI number for Jay Park is 1558359778. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Jay Park located?

Jay Park practices at 6367 E Tanque Verde Road Suite 200, Tucson, AZ 85715. The listed phone number is (520) 290-5888.

What is Jay Park's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Jay Park was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.