DR. JOON H PARK M.D.
NPI 1700031952
General Practice in Portage, MI

Active since December 01, 2008
430 W CENTRE AVE, PORTAGE, MI 49024(269) 321-6673 Get Directions Write a Review

NPPES record last updated: December 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Joon H Park M.d. NPPES

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

DR. JOON H PARK M.D. (NPI 1700031952) is an individual general practice provider in Portage, Michigan, licensed in Michigan (4301065839) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1700031952
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. JOON H PARKCredential: M.D.
Location Address430 W CENTRE AVEPortage, MI 49024
Mailing Address430 W Centre AvePortage, MI 49024
Sole ProprietorNo
Enumeration DateDecember 1, 2008
NPI 1700031952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in MI · 4301065839
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
430 W CENTRE AVE, Portage, MI 49024

Other Providers at the Same Location NPPES 3

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

Allergy & Immunology
430 W CENTRE AVE
PORTAGE, MI 49024
Allergy & Immunology (Allergy)
430 W CENTRE AVE
PORTAGE, MI 49024
Allergy & Immunology
430 W CENTRE AVE
PORTAGE, MI 49024

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 Joon Park's NPI number?

The NPI number for Joon Park is 1700031952. It was assigned to this individual provider in the NPPES registry on December 1, 2008.

Where is Joon Park located?

Joon Park practices at 430 W Centre Ave, Portage, MI 49024. The listed phone number is (269) 321-6673.

What is Joon Park's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Joon Park was last updated on December 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.