DR. AUSTIN PARK M.D.
NPI 1689109191
Dermatology in Fpo, AP

Active since April 23, 2017PECOS Enrolled

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 28, 2025, Jul 26, 2024, Mar 7, 2023 and 1 more (4 updates tracked since 2017).

About Dr. Austin Park M.d. NPPES

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

DR. AUSTIN PARK M.D. (NPI 1689109191) is an individual dermatology provider in Fpo, AP, licensed in Nebraska (31013) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689109191
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. AUSTIN PARKCredential: M.D.
Location AddressPSC 475 BOX 1Fpo, AP 96350-1200
Mailing AddressPsc 475 Box 1Fpo, AP 96350-1200
Sole ProprietorNo
Enumeration DateApril 23, 2017
Last NPPES UpdateMay 28, 20254 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
NPI 1689109191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NE · 31013
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

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. Austin 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.

Dentist (Endodontics)
PSC 475 BOX 1
FPO, AP 96350
Occupational Therapist
PSC 475 BOX 1
FPO, AP 96350
Dietitian, Registered
PSC 475 BOX 1
FPO, AP 96350
Occupational Therapist
PSC 475 BOX 1
FPO, AP 96350
Occupational Therapist
PSC 475 BOX 1
FPO, AP 96350
Dentist (General Practice)
PSC 475 BOX 1
FPO, AP 96350
Nurse Anesthetist, Certified Registered
PSC 475 BOX 1
FPO, AP 96350
Pathology (Anatomic Pathology & Clinical Pathology)
PSC 475 BOX 1
FPO, AP 96350

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 Austin Park's NPI number?

The NPI number for Austin Park is 1689109191. It was assigned to this individual provider in the NPPES registry on April 23, 2017.

Where is Austin Park located?

Austin Park practices at Psc 475 Box 1, Fpo, AP 96350. The listed phone number is (315) 243-7442.

What is Austin Park's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Austin Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Austin Park was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.