Dr. Roger William Park , MD
Pediatrics • Delaware, OH
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. Roger Park has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Roger Park, MD was a registered Pediatrics practicing in Delaware, OH. Throughout an active medical career spanning 12 years, Dr. Park provided care at the practice location at 7676 OVERLAND TRAIL until profile deactivation on 2023-01-25.
Practice Location & Contact Primary Location
7676 Overland Trail
Delaware, OH 430158318
Specialty Benchmarks & Practice Insights
Comparative analytics for Pediatrics in Delaware, OH
Practicing in Delaware, OH (3057 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 25, 2023
NPI status registered as active in NPPES database
Registered at 7676 OVERLAND TRAIL, DELAWARE, OH 430158318 (Tel: 7405484867)
Registered at 7676 OVERLAND TRAIL, DELAWARE, OH 430158318 (Tel: 7405484867)
Recorded as ROGER PARK, M.D.
Pediatrics (License #35.024710 in OH)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
7676 Overland Trail
Delaware, OH 430158318
Phone: 7405484867
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