Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1316238470 Deactivated / Inactive NPI Male Practitioner

Dr. Yong Hwa Park , MD

General Practice • Novi, MI

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Yong Park has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 25, 2011
NPI Deactivation Date May 21, 2026
Total Practice Duration ~15 Years of Practice (2011 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Yong Park, MD was a registered General Practice practicing in Novi, MI. Throughout an active medical career spanning 15 years, Dr. Park provided care at the practice location at 25676 ISLAND LAKE DR until profile deactivation on 2026-05-21.

Practice Location & Contact Primary Location

Practice Address

25676 Island Lake Dr

Novi, MI 483742175

Telephone 2484491726

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Novi, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Novi, MI (445 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MI 4301032388

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Chungsuk Park

Obstetrics & Gynecology

NPI 1528326741

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 21, 2026

Record deactivated on May 21, 2026

NPI Profile Active June 28, 2016

NPI status registered as active in NPPES database

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Updated Practice Location June 28, 2016

Registered at 25676 ISLAND LAKE DR, NOVI, MI 483742175 (Tel: 2484491726)

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Updated Business Mailing Address June 28, 2016

Registered at 30970 SENECA LN, NOVI, MI 483771523 (Tel: 5867039780)

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Provider Name / Credentials Updated June 28, 2016

Recorded as YONG PARK, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2016

General Practice (License #4301032388 in MI)

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Initial NPI Registration & Enumeration April 25, 2011

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: 1316238470
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2011
Last Update: June 28, 2016
Deactivation Date: May 21, 2026

Mailing Address

30970 Seneca Ln

Novi, MI 483771523

Phone: 5867039780

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.