Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285476507 Individual Practitioner Female Practitioner

Dr. Tiffany Ruth Park , DO

General Practice • San Antonio, TX

Professional Overview & Biography Verified Profile Summary

Dr. Tiffany Park, DO is a registered healthcare professional specializing in General Practice in San Antonio, TX. Practice services are available at 3551 ROGER BROOKE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3551 Roger Brooke Dr

San Antonio, TX 782344504

Telephone 2109164141
Associated Practice Facility / Clinic
🏢 Amc Bamc-Fsh Facility NPI 1538251764

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in San Antonio, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.2 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
95 Specialists

Practicing in San Antonio, TX (1183 Statewide)

Telehealth Adoption Rate
2.1% 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

CMS Verified: 2025-12-13
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CO DR.0076342

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

40 Associated Practitioners
Dr. Jameaka Hamilton , MD

Obstetrics & Gynecology - Maternal & Fetal Medicine

NPI 1003357278

Doctor of Medicine (M.D.)

Dr. Suzanne Jokajtys , MD

Obstetrics & Gynecology - Gynecologic Oncology

NPI 1033644711

Doctor of Medicine (M.D.)

Julie Bracamonte , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033805411

Certified Registered Nurse Anesthetist

NPI 1033969001

Doctor of Medicine (M.D.)

Dr. Charles Kieffer , MD

Emergency Medicine

NPI 1053842831

Doctor of Medicine (M.D.)

Allen Magnone , ACNP

Nurse Practitioner - Acute Care

NPI 1063261154

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address December 13, 2025

Registered at 340 TREELINE PARK APT 636, SAN ANTONIO, TX 782091839 (Tel: 9703617082)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2025

General Practice (License #DR.0076342 in CO)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2024

Military Health Care Provider

NPI Profile Active June 07, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 07, 2024

Registered at 3551 ROGER BROOKE DR, SAN ANTONIO, TX 782344504 (Tel: 2109164141)

📍
Updated Business Mailing Address June 07, 2024

Registered at 2607 BLUFF XING, SAN ANTONIO, TX 782441000 (Tel: 9703617082)

👤
Provider Name / Credentials Updated June 07, 2024

Recorded as TIFFANY PARK, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 07, 2024

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: 1285476507
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2024
Last Update: December 13, 2025
Sole Proprietor: No

Mailing Address

340 Treeline Park Apt 636

San Antonio, TX 782091839

Phone: 9703617082

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.