SOO H. PARK M.D.
NPI 1609819226
Internal Medicine - Interventional Cardiology in Columbus, IN

Q: What is Soo Park's NPI number?

The NPI number for Soo Park is 1609819226. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Q: What is Soo Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Soo Park was last updated on July 13, 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.

Active since June 13, 2006

5580 TREELINE DR, COLUMBUS, IN 47201(217) 979-1165 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 13, 2023, Mar 11, 2021, Sep 13, 2016 (3 updates tracked since 2016).

On this page

About Soo H. Park M.d. NPPES

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

SOO H. PARK M.D. (NPI 1609819226) is an individual interventional cardiology provider in Columbus, Indiana, licensed in Indiana (01064126A) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1609819226

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameSOO H. PARKCredential: M.D.

Location Address5580 TREELINE DRColumbus, IN 47201-4050

Mailing Address5580 Treeline DrColumbus, IN 47201-4050 · (217) 979-1165

Phone(217) 979-1165

Sole ProprietorNo

Enumeration DateJune 13, 2006

Last NPPES UpdateJuly 13, 20233 updates tracked since enumeration

NPPES CertifiedJuly 13, 2023

✔ NPI 1609819226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Licenses✔ Licensed in IN · 01064126A✔ Licensed in OR · MD153728✔ Licensed in IL · 036042861

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

5580 TREELINE DR, Columbus, IN 47201

Open in Google Maps ↗

Other Identifiers 2

Other000000984930IN · Anthem Pin

Medicaid200031190IN

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 Soo Park's NPI number?

The NPI number for Soo Park is 1609819226. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Soo Park located?

Soo Park practices at 5580 Treeline Dr, Columbus, IN 47201. The listed phone number is (217) 979-1165.

What is Soo Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

When was this NPI record last updated?

The NPPES record for Soo Park was last updated on July 13, 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.