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EUN PARK
NPI 1821799651
Student in an Organized Health Care Education/Training Program in Hattiesburg, MS

Active since March 17, 2023PECOS Enrolled
710 WILLIAM CAREY PKWY, HATTIESBURG, MS 39401(601) 318-6235 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eun Park NPPES

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

EUN PARK (NPI 1821799651) is an individual student in an organized health care education/training program in Hattiesburg, Mississippi and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821799651
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEUN PARK
Location Address710 WILLIAM CAREY PKWYHattiesburg, MS 39401-7842
Mailing Address710 William Carey PkwyHattiesburg, MS 39401-7842
Phone(601) 318-6235
Sole ProprietorYes
Enumeration DateMarch 17, 2023
NPPES CertifiedMarch 17, 2023
✔ NPI 1821799651 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.
710 WILLIAM CAREY PKWY, Hattiesburg, MS 39401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eun Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

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

CHRISTIAN DAMICO
Student in an Organized Health Care Education/Training Program
710 WILLIAM CAREY PKWY
HATTIESBURG, MS 39401
Forrest County (601) 318-6235
WILLIAM CAREY UNIVERSITY
General Practice
710 WILLIAM CAREY PKWY
HATTIESBURG, MS 39401
Forrest County (972) 367-4845
HATTIESBURG CLINIC, PA
Family Medicine
710 WILLIAM CAREY PKWY
HATTIESBURG, MS 39401
Forrest County (601) 318-6736
ANAJAH COLEMAN
Student in an Organized Health Care Education/Training Program
710 WILLIAM CAREY PKWY
HATTIESBURG, MS 39401
Forrest County (601) 318-6051
JENNIFER L. KENNEDY PT
Physical Therapist
710 WILLIAM CAREY PKWY
HATTIESBURG, MS 39401
Forrest County (601) 318-6335
KESHAVKIRAN JAYAGOPI
Student in an Organized Health Care Education/Training Program
710 WILLIAM CAREY PKWY
HATTIESBURG, MS 39401
Forrest County (601) 318-6235
GABRIELLA SOPHIE COOK
Student in an Organized Health Care Education/Training Program
710 WILLIAM CAREY PKWY
HATTIESBURG, MS 39401
Forrest County (601) 318-6235

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 Eun Park's NPI number?

The NPI number for Eun Park is 1821799651. It was assigned to this individual provider in the NPPES registry on March 17, 2023.

Where is Eun Park located?

Eun Park practices at 710 William Carey Pkwy, Hattiesburg, MS 39401. The listed phone number is (601) 318-6235.

What is Eun Park's specialty?

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

Is Eun Park enrolled in Medicare?

Yes. Eun Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eun Park was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.