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IH KOO PARK MD
NPI 1902806227
Surgery in Ft Oglethorpe, GA

Active since July 28, 2005
100 GROSS CRESCENT CIR, FT OGLETHORPE, GA 30742(706) 861-7275 Get Directions Write a Review

NPPES record last updated: September 28, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ih Koo Park Md NPPES

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

IH KOO PARK MD (NPI 1902806227) is an individual surgery provider in Ft Oglethorpe, Georgia, licensed in Georgia (15885) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1902806227
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameIH KOO PARKCredential: MD
Location Address100 GROSS CRESCENT CIRFt Oglethorpe, GA 30742-3643
Mailing Address100 Gross Crescent CirFt Oglethorpe, GA 30742-3643 · (706) 861-7275
Phone(706) 861-7275
Sole ProprietorNo
Enumeration DateJuly 28, 2005
Last NPPES UpdateSeptember 28, 2012
✔ NPI 1902806227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in GA · 15885✔ Licensed in TN · 8922
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
100 GROSS CRESCENT CIR, Ft Oglethorpe, GA 30742
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Other Identifiers 3

Medicaid00062059BGA
Medicare PIN3157184TN
Medicare UPINB02658

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.

ALAN P MARTIN PA-C
Physician Assistant
100 GROSS CRESCENT CIR
FORT OGLETHORPE, GA 30742
Catoosa County (706) 858-2000
GASTON G FODERINGHAM MD
Emergency Medicine
100 GROSS CRESCENT CIR
FORT OGLETHORPE, GA 30742
Catoosa County (706) 858-2000
DANIEL F HAMLIN PA
Physician Assistant
100 GROSS CRESCENT CIR
FT OGLETHORPE, GA 30742
Catoosa County (706) 858-2161
STEVEN G BURDETTE ATC
Specialist/Technologist (Athletic Trainer)
100 GROSS CRESCENT CIR
FORT OGLETHORPE, GA 30742
Catoosa County (706) 858-2946
AMANDA DAVENPORT NP-C
Nurse Practitioner (Family)
100 GROSS CRESCENT CIR
FORT OGLETHORPE, GA 30742
Catoosa County (706) 858-2000
CORNERSTONE MEDICAL CENTER, LLC
General Acute Care Hospital
100 GROSS CRESCENT CIR
FORT OGLETHORPE, GA 30742
Catoosa County (706) 858-2000
ZEBULON HEIDT D.O.
Emergency Medicine
100 GROSS CRESCENT CIR
FORT OGLETHORPE, GA 30742
Catoosa County (706) 858-2000
HUTCHESON ANESTHESIA & PAIN TREATMENT, LLC
Anesthesiology
100 GROSS CRESCENT CIR
FORT OGLETHORPE, GA 30742
Catoosa County (706) 858-2000

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 Ih Park's NPI number?

The NPI number for Ih Park is 1902806227. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Ih Park located?

Ih Park practices at 100 Gross Crescent Cir, Ft Oglethorpe, GA 30742. The listed phone number is (706) 861-7275.

What is Ih Park's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Ih Park was last updated on September 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.