Jin Hyuk Park
M.D. | Pediatric Cardiology | Male
Jin Hyuk Park, M.D. is a Fairfax, Virginia based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Jin Hyuk Park is
8500 Executive Park Ave Ste 110, Fairfax, Virginia - 22031-2228. He can be contacted on phone at
703-573-0504 and fax number 703-573-4856.
Jin Hyuk Park is a sole proprietor of his business.
NPI number (Unique professional ID) for Jin Hyuk Park is
1306824909 which was assigned by NPPES on 04 Jan, 2006 and it was last updated on 21 Jul, 2022.
Jin Hyuk Park license number is
0101232879 for Pediatrics Pediatric Cardiology (2080P0202X) in Virginia.
Jin Hyuk Park provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Jin Hyuk Park basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Jin Hyuk Park |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Jin Hyuk Park address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 8500 Executive Park Ave Ste 110
Fairfax, VA, 22031-2228
United States |
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| Phone Number : | 703-573-0504 |
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| Fax Number : | 703-573-4856 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1306824909 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Jan, 2006 |
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| Last Updated On : | 21 Jul, 2022 |
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Medicare Participation:
Jin Hyuk Park participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9638165137 |
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| Medicare Enrollment ID : | I20040421000897 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of North Carolina At Chapel Hill School Of Medicine |
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| Graduation Year : | 1996 |
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| Accepts Medicare? | Yes. Jin Hyuk Park accepts medicare insurance. |
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Group Practice Association:
Jin Hyuk Park is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jin Hyuk Park is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Childrens Hospital | 0244143170 | 125 | 111 Michigan Ave Nw
Washington, DC - 200102916
Ph: 2024765000 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jin Hyuk Park are as mentioned. Primary taxonomy code for Jin Hyuk Park, M.D. is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | 0101232879 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Jin Hyuk Park such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 006736262 | MEDICAID | VA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 8500 Executive Park Ave, Suite 110
Fairfax, VA, 22031-2225
United States |
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| Phone Number : | 703-573-0504 |
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| Fax Number : | 703-573-4856 |
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Business Location:
Patients can refer following map for directions to
Jin Hyuk Park practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.