Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386645521 Individual Practitioner Male Practitioner

Dr. Douglas S. Park , MD, FACP

Specialist • Midland, TX

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Park, MD, FACP is a registered healthcare professional specializing in Specialist in Midland, TX. Practice services are available at 705 W. WADLEY AVE. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

705 W. Wadley Ave.

Midland, TX 797055373

Telephone 4326874044
Fax 4326870528
Associated Practice Facility / Clinic
🏢 Douglas S. Park M.d. Pa Facility NPI 1760635874

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Midland, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.0 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Midland, TX (2033 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX 752636710

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1314593-06 (TX)
Commercial Insurance / Payer ID Medicare Id
00F15F (TX)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Suezette Hamilton

Nurse Practitioner - Family

NPI 1710773213
Rachel Milan

Nurse Practitioner - Family

NPI 1902754013

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 19, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 19, 2013

Registered at 705 W. WADLEY AVE., MIDLAND, TX 797055373 (Tel: 4326874044)

📍
Updated Business Mailing Address August 19, 2013

Registered at 705 W WADLEY AVE, MIDLAND, TX 797055373 (Tel: 4326874044)

👤
Provider Name / Credentials Updated August 19, 2013

Recorded as DOUGLAS PARK, M.D., FACP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2013

Specialist (License #752636710 in TX)

🟢
Initial NPI Registration & Enumeration August 10, 2005

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: 1386645521
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2005
Last Update: August 19, 2013
Sole Proprietor: Yes

Mailing Address

705 W Wadley Ave

Midland, TX 797055373

Phone: 4326874044

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.