Active NPIIndividual provider

Peter C Park, MD

Family Medicine in Keene, New Hampshire

NPI Number1508899915
Practice location
580 Court St, Keene, NH 03431-1718
Fax
—
Last updated
September 25, 2023

Peter Chunghyun Park is a Family Medicine based in Keene, NH. Peter Chunghyun Park practices in Keene, NH and has the professional credentials of MD. The NPI Number for Peter Chunghyun Park is 1508899915 and holds a License No. 2022-011755 (NC). The current practice location address for Peter Chunghyun Park is 580 Court St, Keene, NH 03431-1718 and can be reached out via phone at 603-354-5400.

Provider Profile Details

NPI Number
1508899915
Provider Name
Peter Chunghyun Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
580 Court St, Keene, NH 03431-1718
Phone Number
603-354-5400
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
July 9, 2006
Last Update Date
September 25, 2023
Certification Date
September 25, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
580 Court St
Keene, NH 03431-1718
City
Keene
Zip
03431-1718
Phone Number
603-354-5400
Keene, NH 03431Get directions →

Provider Business Mailing Address Details

Address
580 Court St
Keene, NH 03431-1729
City
Keene
State
NH
Zip
03431-1729
Phone Number
603-354-5400
Fax Number
828-257-4738

License Information

License Number (1)
2022-011755
License State (1)
NC
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
042-0009719
License State (2)
VT
Taxonomy (2)
Family Medicine · 207Q00000X
License Number (3)
EL12775
License State (3)
NH
Taxonomy (3)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Family Medicine providers near Keene, NH

View all Family Medicine providers in Keene →

Frequently Asked Questions

What is the NPI number of Peter C Park, MD?

The NPI number of Peter C Park, MD is 1508899915. It was assigned on July 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Peter C Park, MD?

Peter C Park, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NC under license number 2022-011755.

Where does Peter C Park, MD practice?

The practice location is 580 Court St, Keene, NH 03431-1718. The office can be reached at 603-354-5400 (phone).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508899915 directly on the NPPES registry website.

Browse related providers