Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104084912 Individual Practitioner Male Practitioner

Dr. Moon Soo Park , MD

Specialist • Hilo, HI

Professional Overview & Biography Verified Profile Summary

Dr. Moon Park, MD is a registered healthcare professional specializing in Specialist in Hilo, HI. Practice services are available at 33 LANIHULI ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

33 Lanihuli St

Hilo, HI 967204142

Telephone 8089354814
Fax 8089352518
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Hilo, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 39.2 Yrs
Regional Practice Density
19 Specialists

Practicing in Hilo, HI (383 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License HI 2093

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 29, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 29, 2008

Registered at 33 LANIHULI ST, HILO, HI 967204142 (Tel: 8089354814)

📍
Updated Business Mailing Address May 29, 2008

Registered at 33 LANIHULI ST, HILO, HI 967204142 (Tel: 8089354814)

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Provider Name / Credentials Updated May 29, 2008

Recorded as MOON PARK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2008

Specialist (License #2093 in HI)

🟢
Initial NPI Registration & Enumeration May 29, 2008

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: 1104084912
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2008
Last Update: May 29, 2008
Sole Proprietor: Yes

Mailing Address

33 Lanihuli St

Hilo, HI 967204142

Phone: 8089354814

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.