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Active NPI 1346774569 Individual Practitioner Female Practitioner

Dr. Kathleen Park , MD

Surgery • Baltimore, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kathleen Park, MD is a certified Surgery practicing in Baltimore, MD. With approximately 9 years of clinical experience since graduating from University Of Florida College Of Medicine in 2017, Dr. Park delivers high-quality medical care to the local community at 345 SAINT PAUL ST.

Dr. Park is affiliated with Southern California Permanente Medical Group and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

345 Saint Paul St

Baltimore, MD 212022123

Telephone 4103329000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Florida College Of Medicine

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Baltimore, MD

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -13.8 yrs vs City Avg
City Avg: 22.8 Yrs
State Avg: 28.6 Yrs
Regional Practice Density
266 Specialists

Practicing in Baltimore, MD (717 Statewide)

Telehealth Adoption Rate
12.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Park (9 Years) 9 Yrs
Baltimore Specialty Average (22.8 Years) 22.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-06-30
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MD D96682

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.

Hospital & Practice Group Affiliations

Southern California Permanente Medical Group

2531 Chester Ave, Bakersfield, CA 933012012

Phone: 6613377000

Southern California Permanente Medical Group

3733 San Dimas St, Bakersfield, CA 933011407

Phone: 8003535400

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Haopeng Zheng , MD

Psychiatry & Neurology - Neurology

NPI 1003134503

Doctor of Medicine (M.D.)

Courtney Roberts

Nurse Practitioner - Family

NPI 1013587914
Amara Unegbu-Ogbonna , PA-C

Physician Assistant

NPI 1013674076

Physician Assistant (Certified)

Carolina Ayala , CRNP

Nurse Practitioner - Primary Care

NPI 1023973187

Certified Registered Nurse Practitioner

Angela Gahres , NP

Nurse Practitioner - Gerontology

NPI 1043919335

Nurse Practitioner

William Bundesen , LCSW-C

Social Worker - Clinical

NPI 1053715219

Licensed Clinical Social Worker - Certified

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location June 30, 2023

Registered at 345 SAINT PAUL ST, BALTIMORE, MD 212022123 (Tel: 4103329000)

📍
Updated Business Mailing Address June 30, 2023

Registered at 345 SAINT PAUL ST, BALTIMORE, MD 212022123

👤
Provider Name / Credentials Updated June 30, 2023

Recorded as KATHLEEN PARK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2023

Surgery (License #D96682 in MD)

📍
Updated Practice Location May 31, 2018

Registered at 1515 SW ARCHER RD, GAINESVILLE, FL 32608 (Tel: 3522650916)

📍
Updated Business Mailing Address May 31, 2018

Registered at 1514 JEFFERSON HWY RM 642, NEW ORLEANS, LA 701212429

NPI Profile Active April 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 13, 2017

Registered at 1515 SW ARCHER RD, GAINESVILLE, FL 326081134 (Tel: 3522650916)

📍
Updated Business Mailing Address April 13, 2017

Registered at PO BOX 100287, GAINESVILLE, FL 326100287

👤
Provider Name / Credentials Updated April 13, 2017

Recorded as KATHLEEN PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 13, 2017

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: 1346774569
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2017
Last Update: June 30, 2023
Sole Proprietor: No

Mailing Address

345 Saint Paul St

Baltimore, MD 212022123

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.