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JAY Y PARK MD, PC
NPI 1558515494
Dermatology - MOHS-Micrographic Surgery in Eugene, OR

Active since November 05, 2008
360 S GARDEN WAY STE 230, EUGENE, OR 97401(541) 344-4168(541) 743-2306 Get Directions Write a Review

NPPES record last updated: July 2, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jay Y Park Md, Pc NPPES

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

JAY Y PARK MD, PC (NPI 1558515494) is a healthcare organization registered as a mohs-micrographic surgery in Eugene, Oregon and active in the NPI registry since November 2008. The organization lists Brandy D Jackson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1558515494
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameJAY Y PARK MD, PC
Location Address360 S GARDEN WAY STE 230Eugene, OR 97401-8173
Mailing Address360 S Garden Way Ste 230Eugene, OR 97401-8173 · (541) 344-4168 · Fax (541) 743-2603
Phone(541) 344-4168
Fax(541) 743-2306
Organization SubpartNo
Authorized OfficialBrandy D JacksonOffice Manager · (541) 344-4168
Enumeration DateNovember 5, 2008
Last NPPES UpdateJuly 2, 2014
✔ NPI 1558515494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
360 S GARDEN WAY STE 230, Eugene, OR 97401
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Other Identifiers 4

Medicare UPING39727OR
Medicare PINRRPTAN070010885OR
Medicare UPINR145641OR
Medicare PINR07WFBFRCOR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

DR. JAY Y PARK M.D., P.C.
Dermatology
360 S GARDEN WAY STE 230
EUGENE, OR 97401
Lane County (541) 747-6159
DR. DONNA M MORGAN MD
Pain Medicine (Interventional Pain Medicine)
360 S GARDEN WAY STE 230
EUGENE, OR 97401
Lane County (541) 844-7246
TROY RICHEY MD PC
Dermatology
360 S GARDEN WAY STE 230
EUGENE, OR 97401
Lane County (541) 747-6159
OREGON PAIN & SPINE SPECIALISTS PC
Pain Medicine (Interventional Pain Medicine)
360 S GARDEN WAY STE 230
EUGENE, OR 97401
Lane County (541) 844-7246
ADAM LAVELL KEMP M.D.
Anesthesiology (Pain Medicine)
360 S GARDEN WAY STE 230
EUGENE, OR 97401
Lane County (541) 844-7246

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 Y Park MD, PC's NPI number?

The NPI number for Jay Y Park MD, PC is 1558515494. It was assigned to this organization in the NPPES registry on November 5, 2008.

Where is Jay Y Park MD, PC located?

Jay Y Park MD, PC is located at 360 S Garden Way Ste 230, Eugene, OR 97401. The listed phone number is (541) 344-4168.

What is Jay Y Park MD, PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

When was this NPI record last updated?

The NPPES record for Jay Y Park MD, PC was last updated on July 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.