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Jake J. Park, D.C.

NPI 1437278025ActiveIndividual· Chiropractor· Ellicott City, MD

Chiropractor (D.C.) in Ellicott City, Maryland, trained at Logan College of Chiropractic (class of 2009). Enrolled in Medicare as practitioner - chiropractic.

Overview

NPI1437278025
StatusActive
Entity typeIndividual
CredentialD.C.
Sole proprietorNo
NPI issuedMar 28, 2007
Last updated in NPPESFeb 6, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Chiropractor Primary111N00000X02017MD

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Chiropractic (MD)

Medicare sources and data years

Education and affiliations

Medical schoolLogan College of Chiropractic
Graduation year2009
Medicare specialtyChiropractic

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other chiropractors in Ellicott City

All 34 chiropractors in Ellicott City · All chiropractors in Maryland