Heesun Park
NPI 1952297392ActiveIndividual· Audiologist· Fairfax, VA
Audiologist with Otolaryngology Associates PC, practicing in Fairfax, Virginia. Enrolled in Medicare as practitioner - qualified audiologist.
Overview
| NPI | 1952297392 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 13, 2025 |
| Last updated in NPPES | Jun 30, 2025 |
| Certified by provider | Jun 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | — | — |
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 - Qualified Audiologist (DC) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Medical group
- Otolaryngology Associates PCFairfax, VA · 31 clinicians
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