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DR. JAE-SUNG PARK M.D.
NPI 1700057502
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Active since March 19, 2008
9500 EUCLID AVE, R20, CLEVELAND, OH 44195(216) 444-3861 Get Directions Write a Review

NPPES record last updated: March 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jae-sung Park M.d. NPPES

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

DR. JAE-SUNG PARK M.D. (NPI 1700057502) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1700057502
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JAE-SUNG PARKCredential: M.D.
Location Address9500 EUCLID AVE, R20Cleveland, OH 44195-0001
Mailing Address9500 Euclid Ave, R20Cleveland, OH 44195-0001
Phone(216) 444-3861
Sole ProprietorYes
Enumeration DateMarch 19, 2008
✔ NPI 1700057502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9500 EUCLID AVE, Cleveland, OH 44195
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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.

MS. MARY COLLEEN RATH R.D., L.D., CNSC
Dietitian, Registered
9500 EUCLID AVE, M17
CLEVELAND, OH 44195
Cuyahoga County (216) 444-6986
DR. CHRISTOPHER F TENGGARDJAJA M.D.
Urology (Urogynecology and Reconstructive Pelvic Surgery)
9500 EUCLID AVE, Q10-1
CLEVELAND, OH 44195
Cuyahoga County (216) 444-5600
DR. MASATO FUJIKI M.D., PH.D.
Surgery
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (216) 444-8007
KRISTIN R JOHNSON CNP
Nurse Practitioner
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (800) 223-2273
MONICA LYNN SHEIN CRNA
Nurse Anesthetist, Certified Registered
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (800) 223-2273
MRS. TONYA RENEE GOINGS ACNP-BC
Nurse Practitioner (Acute Care)
9500 EUCLID AVE, SUITE RC25
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
MS. DANA ANNE RUBIS CNP
Nurse Practitioner (Critical Care Medicine)
9500 EUCLID AVE, G58
CLEVELAND, OH 44195
Cuyahoga County (216) 444-5086
DR. RACHAEL C SULLIVAN M.D.
Surgery
9500 EUCLID AVE
CLEVELAND, OH 44195
Cuyahoga County (440) 449-1101

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 Jae-sung Park's NPI number?

The NPI number for Jae-sung Park is 1700057502. It was assigned to this individual provider in the NPPES registry on March 19, 2008.

Where is Jae-sung Park located?

Jae-sung Park practices at 9500 Euclid Ave R20, Cleveland, OH 44195. The listed phone number is (216) 444-3861.

What is Jae-sung Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jae-sung Park was last updated on March 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.