Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JOUNG HO PARK MD
NPI 1801845946
Internal Medicine - Nephrology in Roseville, MI

Active since May 08, 2006
25710 KELLY RD, STE 3, ROSEVILLE, MI 48066(586) 772-2600(586) 772-5289 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Joung Ho Park Md NPPES

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

JOUNG HO PARK MD (NPI 1801845946) is an individual nephrology provider in Roseville, Michigan, licensed in Michigan (034719) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1801845946
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJOUNG HO PARKCredential: MD
Location Address25710 KELLY RD, STE 3Roseville, MI 48066
Mailing Address25710 Kelly Rd, Ste 3Roseville, MI 48066 · (586) 772-2600 · Fax (586) 772-5289
Fax(586) 772-5289
Sole ProprietorNo
Enumeration DateMay 8, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1801845946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in MI · 034719
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
25710 KELLY RD, Roseville, MI 48066

Other Identifiers 1

Medicaid1390410MI

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Adult Health)
25710 KELLY RD, SUITE 3
ROSEVILLE, MI 48066
Internal Medicine (Nephrology)
25710 KELLY RD, STE 3
ROSEVILLE, MI 48066
Internal Medicine
25710 KELLY RD, STE 3
ROSEVILLE, MI 48066
Surgery (Vascular Surgery)
25710 KELLY RD, SUITE 2
ROSEVILLE, MI 48066
Dietitian, Registered
25710 KELLY RD, SUITE 3
ROSEVILLE, MI 48066
Clinic/Center (Radiology)
25710 KELLY RD
ROSEVILLE, MI 48066
Internal Medicine
25710 KELLY RD, STE 3
ROSEVILLE, MI 48066
Internal Medicine
25710 KELLY RD, SUITE 3
ROSEVILLE, MI 48066

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 Joung Park's NPI number?

The NPI number for Joung Park is 1801845946. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Joung Park located?

Joung Park practices at 25710 Kelly Rd Ste 3, Roseville, MI 48066. The listed phone number is (586) 772-2600.

What is Joung Park's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Joung Park was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.