Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972704096 Individual Practitioner Male Practitioner

Dr. Charles Park , MD

Surgery • Klamath Falls, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Park, MD is a certified Surgery practicing in Klamath Falls, OR. With approximately 20 years of clinical experience since completing medical education in 2006, Dr. Park delivers high-quality medical care to the local community at 2301 CLAIRMONT DR.

Dr. Park is affiliated with Sky Lakes Medical Center Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2301 Clairmont Dr

Klamath Falls, OR 976017104

Telephone 5412742345
Fax 5412746247
Associated Practice Facility / Clinic
🏢 Cory T Johnson Md Pc Facility NPI 1558516005

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Klamath Falls, OR

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs -4.9 yrs vs City Avg
City Avg: 24.9 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
10 Specialists

Practicing in Klamath Falls, OR (555 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

Clinical Seniority & Experience Comparison

Dr. Park (20 Years) 20 Yrs
Klamath Falls Specialty Average (24.9 Years) 24.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-10-30
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OR MD227125

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License MA 249748

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License OH 35.126455

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0151480 (OH)

Hospital & Practice Group Affiliations

Sky Lakes Medical Center Inc

2614 Clover St, Klamath Falls, OR 976011132

Phone: 5418846233

Secondary Practice Locations

234 Goodman St

Cincinnati, OH 452192364

Phone: 5134758787

Practice Associates & Co-Workers

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

7 Associated Practitioners
Dr. Thomas Brown , MD

Radiology - Diagnostic Radiology

NPI 1033137278

Doctor of Medicine (M.D.)

Laina Holland , FNP

Nurse Practitioner - Family

NPI 1174639157

Family Nurse Practitioner

NPI 1285605097

Doctor of Medicine (M.D.)

NPI 1518142967

Doctor of Medicine (M.D.)

NPI 1518353549

Doctor of Medicine (M.D.)

Shelby Kirkpatrick , PA-C

Physician Assistant

NPI 1598016073

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 30, 2025

Registered at 2301 CLAIRMONT DR, KLAMATH FALLS, OR 976017104 (Tel: 5412742345)

📍
Updated Business Mailing Address October 30, 2025

Registered at 2865 DAGGETT AVE FL 4, KLAMATH FALLS, OR 976011106 (Tel: 5412742345)

📍
Updated Business Mailing Address March 13, 2018

Registered at PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 452636256 (Tel: 5135855506)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2018

Surgery (License #249748 in MA)

NPI Profile Active February 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 02, 2016

Registered at 234 GOODMAN ST, CINCINNATI, OH 452192364 (Tel: 5134758787)

📍
Updated Business Mailing Address February 02, 2016

Registered at 234 GOODMAN ST, CINCINNATI, OH 452192364 (Tel: 5134758787)

👤
Provider Name / Credentials Updated February 02, 2016

Recorded as CHARLES PARK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2016

Surgery (License #35.126455 in OH)

🟢
Initial NPI Registration & Enumeration May 29, 2007

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: 1972704096
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2007
Last Update: October 30, 2025
Sole Proprietor: No

Mailing Address

2865 Daggett Ave Fl 4

Klamath Falls, OR 976011106

Phone: 5412742345

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.