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Deactivated NPI 1497869499 Deactivated / Inactive NPI Male Practitioner

Yong Ho Park

Surgery • Superior, MT

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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, Yong Park has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 18, 2006
NPI Deactivation Date May 22, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Yong Park was a registered Surgery practicing in Superior, MT. Throughout an active medical career spanning 18 years, Yong Park provided care at the practice location at 501 WEST RIVERSIDE AVENUE until profile deactivation on 2024-05-22.

Practice Location & Contact Primary Location

Practice Address

501 West Riverside Avenue

Superior, MT 598720847

Telephone 4068223307
Fax 4068223308

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Superior, MT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Superior, MT (144 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 MT 4555

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.

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 22, 2024

Record deactivated on May 22, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 501 WEST RIVERSIDE AVENUE, SUPERIOR, MT 598720847 (Tel: 4068223307)

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Updated Business Mailing Address July 08, 2007

Registered at 501 WEST RIVERSIDE AVENUE, SUPERIOR, MT 598720847 (Tel: 4068223307)

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Provider Name / Credentials Updated July 08, 2007

Recorded as YONG PARK

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #4555 in MT)

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Initial NPI Registration & Enumeration August 18, 2006

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: 1497869499
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2006
Last Update: July 08, 2007
Deactivation Date: May 22, 2024

Mailing Address

501 West Riverside Avenue

Superior, MT 598720847

Phone: 4068223307

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.