Park Medical, LLC
NPI 1831408764ActiveOrganization· General Practice· Simpsonville, SC
General Practice in Simpsonville, South Carolina, registered in NPPES in September 2010. The authorized official on file is Sonny Y. Park, MD, Owner.
Overview
| NPI | 1831408764 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 27, 2010 |
| Last updated in NPPES | Mar 10, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 25559 | SC |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|