CHAN HOON PARK MD
NPI 1700092103
Family Medicine in Slatersville, RI

Active since May 15, 2007
905 VICTORY HWY, SLATERSVILLE, RI 02876(401) 762-2728(401) 762-0473 Get Directions Write a Review

NPPES record last updated: February 26, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Chan Hoon Park Md NPPES

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

CHAN HOON PARK MD (NPI 1700092103) is an individual family medicine provider in Slatersville, Rhode Island, licensed in Rhode Island (MD 5083) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1700092103
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHAN HOON PARKCredential: MD
Location Address905 VICTORY HWYSlatersville, RI 02876
Mailing Address905 Victory Hwy, Po Box 177Slatersville, RI 02876 · (401) 762-2728 · Fax (401) 762-0473
Fax(401) 762-0473
Sole ProprietorYes
Enumeration DateMay 15, 2007
Last NPPES UpdateFebruary 26, 2008
NPI 1700092103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in RI · MD 5083
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
905 VICTORY HWY, Slatersville, RI 02876

Other Identifiers 5

Other1260-1RI · Blue Cross Blue Shield
Medicare UPINC89954RI
Medicaid9001260RI
Other001727RI · Blue Chip
Other0100118PR · United Healthcare

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 Chan Park's NPI number?

The NPI number for Chan Park is 1700092103. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Chan Park located?

Chan Park practices at 905 Victory Hwy, Slatersville, RI 02876. The listed phone number is (401) 762-2728.

What is Chan Park's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Chan Park was last updated on February 26, 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.