1. Home
  2. Directory
  3. Ohio
  4. Tiffin
  5. Radiology
  6. NPI Profile

DONG SOO PARK MD
NPI 1699700021
Radiology - Diagnostic Radiology in Tiffin, OH

Active since July 12, 2006
485 W MARKET ST, TIFFIN, OH 44883(419) 447-3130(419) 447-3155 Get Directions Write a Review

NPPES record last updated: November 2, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dong Soo Park Md NPPES

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

DONG SOO PARK MD (NPI 1699700021) is an individual diagnostic radiology provider in Tiffin, Ohio, licensed in Ohio (35041526P) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1699700021
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDONG SOO PARKCredential: MD
Location Address485 W MARKET STTiffin, OH 44883
Mailing AddressPo Box 1108Ann Arbor, MI 48106-1108 · (734) 677-7400 · Fax (734) 677-7407
Phone(419) 447-3130
Fax(419) 447-3155
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateNovember 2, 2007
✔ NPI 1699700021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in OH · 35041526P
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

485 W MARKET ST, Tiffin, OH 44883
Open in Google Maps ↗

Other Identifiers 6

Other9122391OH · Group
OtherCK3646OH · Medicare Rr Group Pin
Other000000024792OH · Bcbs Group Pin
Medicare ID-Type Unspecified0640001OH
Medicaid0359400OH
Medicare UPINE29693

Other Providers at the Same Location NPPES 8

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

TIFFIN EMERGENCY SERVICES, LLC
Emergency Medicine
485 W MARKET ST
TIFFIN, OH 44883
Seneca County (419) 447-3130
SERI KAOSOL, MD
Pathology (Anatomic Pathology & Clinical Pathology)
485 W MARKET ST
TIFFIN, OH 44883
Seneca County (419) 448-4814
KOMMULA CHIRANJEEVI RAO MD
Radiology (Diagnostic Radiology)
485 W MARKET ST
TIFFIN, OH 44883
Seneca County (419) 447-3130
JUNG JOO SUH MD
Radiology (Diagnostic Radiology)
485 W MARKET ST
TIFFIN, OH 44883
Seneca County (419) 447-3130
JORGE CEPEDA MD
Radiology (Diagnostic Radiology)
485 W MARKET ST
TIFFIN, OH 44883
Seneca County (419) 447-3130
DOROTHY J. BUTTROM CRNA
Nurse Anesthetist, Certified Registered
485 W MARKET ST
TIFFIN, OH 44883
Seneca County (419) 251-2673
DR. KUSUM S KOTHARI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
485 W MARKET ST
TIFFIN, OH 44883
Seneca County (419) 448-3101
PUNITA P KOTHARI
Pathology (Clinical Pathology/Laboratory Medicine)
485 W MARKET ST
TIFFIN, OH 44883
Seneca County (419) 448-4553

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 Dong Park's NPI number?

The NPI number for Dong Park is 1699700021. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Dong Park located?

Dong Park practices at 485 W Market St, Tiffin, OH 44883. The listed phone number is (419) 447-3130.

What is Dong Park's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Dong Park was last updated on November 2, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.