So Youn Park
NPI 1487218202ActiveIndividual· Surgery· Austin, TX
Surgery in Austin, Texas, trained at University of Texas Southwestern Medical School at Dallas (class of 2019). Enrolled in Medicare as practitioner - general surgery.
Overview
| NPI | 1487218202 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 26, 2019 |
| Last updated in NPPES | Jun 18, 2026 |
| Certified by provider | Jun 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | V9091 | TX |
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 Practitioner - General Surgery (TX) |
|---|
Education and affiliations
| Medical school | University of Texas Southwestern Medical School at Dallas |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | General Surgery |
Medical group
- Texas Acute Care Surgery LLCAustin, TX · 9 clinicians
Hospital affiliations
- Baylor Scott & White Medical Center - Marble FallsMarble Falls, TX
- Baylor Scott & White Medical Center - Round RockRound Rock, TX
- Columbus Community HospitalColumbus, TX
- St David's Medical CenterAustin, TX
- St David's South Austin Medical CenterAustin, TX
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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