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Justin Park

Orthopaedic Spine Surgeon

1600 Crain Hwy S Suite 401
Glen Burnie , Maryland 21061-5577

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Justin Park

Orthopaedic Spine Surgeon

1600 Crain Hwy S Suite 401
Glen Burnie , Maryland 21061-5577

(410) 768-7830

Write a Review Save Call

Justin Park

Orthopaedic Spine Surgeon

1600 Crain Hwy S Suite 401
Glen Burnie , Maryland 21061-5577

(410) 768-7830 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Orthopaedic Spine Surgeon

Languages spoken

  • English

Location

1600 Crain Hwy S Suite 401 Glen Burnie , Maryland 21061-5577

First Address

  • Justin Park
  • 1600 Crain Hwy S Suite 401
  • Glen Burnie, MD
  • Zip : 21061-5577
  • Fax : (410) 768-7830
  • Phone : (410) 768-5050

Second Address

  • Justin Park
  • 1600 Crain Hwy S Suite 401
  • Glen Burnie, MD
  • Zip : 21061-5577
  • Fax : (410) 768-7830
  • Phone : (410) 768-5050

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FAQs


Where did Justin Park attend graduate school?

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Where did Justin Park do his residency?

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Where did Justin Park do his fellowship?

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Is Justin Park board certified?

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What type of doctor is Justin Park

Orthopaedic Spine Surgeon

In what state does Justin Park practice in?

Maryland

Where is Justin Park ’s practice located?

1600 Crain Hwy S Suite 401 , Glen Burnie, Maryland, 21061-5577

What is Justin Park ’s gender?

Male

Is Justin Park a sole practitioner?

No

Is Justin Park accepting new patients?

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What languages does Justin Park speak?

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Does Justin Park accept insurance?

Yes, Justin Park accepts insurance

Does Justin Park offers telemedicine?

Justin Park has not indicated if he offers telemedicine

What is Justin Park ’s professional license number?

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What is Justin Park ’s NPI number?

1265625941

Does Justin Park have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207XS0117X Orthopaedic Spine Surgeon 43955 KY
Y 207XS0117X Orthopaedic Spine Surgeon D0073546 MD

National Provider Identifier

NPI 1265625941
Provider Name Justin Park
First Address Glen Burnie, MD 21061-5577
Second Address Glen Burnie, MD 21061-5577
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 25/08/2007
Last Update Date 15/04/2013

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
231508400 (05) MD
253616 JHHC (01) MD
6029607 CIGNA (01) MD
6831-0019 CAREFIRST (01) MD
8543972 AETNA HMO (01) MD
9804676 AETNA PPO (01) MD
K007170 MEDICARE PTAN-- NORTON LEATHERMAN SPINE (01) KY

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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