DR. KWANGWON PARK MD, PHD
NPI 1801423157
Orthopaedic Surgery in Omaha, NE

Active since March 26, 2020
111 N 84TH ST, OMAHA, NE 68114(402) 955-6329(202) 877-8959 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2025, Mar 26, 2020 (2 updates tracked since 2020).

About Dr. Kwangwon Park Md, Phd NPPES

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

DR. KWANGWON PARK MD, PHD (NPI 1801423157) is an individual orthopaedic surgery provider in Omaha, Nebraska, licensed in Nebraska (35792) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1801423157
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. KWANGWON PARKCredential: MD, PHD
Location Address111 N 84TH STOmaha, NE 68114-4101
Mailing Address111 N 84th StOmaha, NE 68114-4101 · (402) 955-6329 · Fax (402) 955-6529
Fax(202) 877-8959
Sole ProprietorYes
Enumeration DateMarch 26, 2020
Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
NPI 1801423157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NE · 35792
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
111 N 84TH ST, Omaha, NE 68114

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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.

Pediatrics (Pediatric Hematology-Oncology)
111 N 84TH ST
OMAHA, NE 68114
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
111 N 84TH ST
OMAHA, NE 68114
Physician Assistant
111 N 84TH ST
OMAHA, NE 68114
Nurse Practitioner (Pediatrics)
111 N 84TH ST
OMAHA, NE 68114
Medical Genetics (Clinical Genetics (M.D.))
111 N 84TH ST
OMAHA, NE 68114
Speech-Language Pathologist
111 N 84TH ST
OMAHA, NE 68114
Speech-Language Pathologist
111 N 84TH ST
OMAHA, NE 68114
Physician Assistant
111 N 84TH ST
OMAHA, NE 68114

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 Kwangwon Park's NPI number?

The NPI number for Kwangwon Park is 1801423157. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Kwangwon Park located?

Kwangwon Park practices at 111 N 84th St, Omaha, NE 68114. The listed phone number is (402) 955-6329.

What is Kwangwon Park's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

What insurance does Kwangwon Park accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Kwangwon 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 Kwangwon Park was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.