Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902806227 Individual Practitioner Male Practitioner

Dr. Ih Koo Park , MD

Surgery • Ft Oglethorpe, GA

Professional Overview & Biography Verified Profile Summary

Dr. Ih Park, MD is a registered healthcare professional specializing in Surgery in Ft Oglethorpe, GA. Practice services are available at 100 GROSS CRESCENT CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Gross Crescent Cir

Ft Oglethorpe, GA 307423643

Telephone 7068617275
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Ft Oglethorpe, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Ft Oglethorpe, GA (1046 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 15885

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License TN 8922

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00062059B (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Daniel Hamlin , PA

Physician Assistant

NPI 1043481914

Physician Assistant

Stephen Lewis , PA-C

Emergency Medicine

NPI 1679672331

Physician Assistant (Certified)

Sally Scholze , CRNA

Nurse Anesthetist, Certified Registered

NPI 1699725796

Certified Registered Nurse Anesthetist

NPI 1952351579

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 28, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 28, 2012

Registered at 100 GROSS CRESCENT CIR, FT OGLETHORPE, GA 307423643 (Tel: 7068617275)

📍
Updated Business Mailing Address September 28, 2012

Registered at 100 GROSS CRESCENT CIR, FT OGLETHORPE, GA 307423643 (Tel: 7068617275)

👤
Provider Name / Credentials Updated September 28, 2012

Recorded as IH PARK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2012

Surgery (License #15885 in GA)

🟢
Initial NPI Registration & Enumeration July 28, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902806227
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2005
Last Update: September 28, 2012
Sole Proprietor: No

Mailing Address

100 Gross Crescent Cir

Ft Oglethorpe, GA 307423643

Phone: 7068617275

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.