DR. DANIEL BORAM PARK M.D.
NPI 1730317397
Pediatrics - Pediatric Emergency Medicine in Charleston, SC
About Dr. Daniel Boram Park M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DANIEL BORAM PARK M.D. (NPI 1730317397) is an individual pediatric emergency medicine provider in Charleston, South Carolina, licensed in South Carolina (34501) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Daniel Boram Park M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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.
CHARLESTON, SC 29425
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 Daniel Park's NPI number?
The NPI number for Daniel Park is 1730317397. It was assigned to this individual provider in the NPPES registry on June 22, 2009.
Where is Daniel Park located?
Daniel Park practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.
What is Daniel Park's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Daniel Park enrolled in Medicare?
Yes. Daniel Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Daniel Park accept?
Health plans from Blue Cross and Blue Shield of NC list Daniel Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Daniel Park was last updated on January 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Daniel Boram Park, M.D. · NPI 1730317397
Pediatric Emergency Medicine physician in Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since June 22, 2009.
## Identity
- **NPI:** 1730317397 (Entity type: Individual)
- **Enumerated:** June 22, 2009
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** 34501 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 171 ASHLEY AVE, Charleston, SC 29425-8908
- **Phone:** (843) 792-1414
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Virginia Commonwealth University, School Of Medicine, class of 2009
## Record status
- **NPPES last updated:** January 18, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1730317397) · Data from the CMS NPPES public registry.