In Kwon Park MD PLLC
NPI 1417509746ActiveOrganization· Internal Medicine· Lakewood, WA
Internal Medicine in Lakewood, Washington, registered in NPPES in July 2019. The authorized official on file is In Kwon Park, Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417509746 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 16, 2019 |
| Last updated in NPPES | Jul 26, 2022 |
| Certified by provider | Jul 26, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Internal Medicine, Infectious Disease | 207RI0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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