National Provider Identifier Database

JIN S PARK, MD – NPI #1164400768
Interventional Cardiology

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.


Contact Information

JIN S PARK, MD
1000 CARONDELET DR STE 201B
KANSAS CITY, MO64114
Phone: 913-956-2250
Fax: 913-956-2251
Website:
Specialty Taxonomy Code
* Interventional Cardiology 207RI0011X
Cardiovascular Disease 207RC0000X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for JIN S PARK

NPI Number 1164400768
Credentials MD
Entity Individual
Enumeration date 01/04/2006
Last updated 11/18/2025 - About 7 months ago
Sole proprietor1 No
Identifiers
  • KS License #: 0433150
  • MO License #: 20080015782
  • MO License #: 2008015782
  • NY License #: 194765
  • MO Medicaid: 1164400768
  • NY Medicaid: 01990005
  • MO Other: P00632841 MEDICARE RAILROAD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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