Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225836844 Individual Practitioner Female Practitioner

Soo Jung Park , PA-C

Physician Assistant • Dulles, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Soo Jung Park, PA-C is a certified Physician Assistant practicing in Dulles, VA. With approximately 2 years of clinical experience since completing medical education in 2024, Soo Jung Park delivers high-quality medical care to the local community at 24430 STONE SPRINGS BLVD SUITE 275.

Soo Jung Park is affiliated with Loudoun Medical Group, Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

24430 Stone Springs Blvd Suite 275

Dulles, VA 201662270

Telephone 7038583220
Associated Practice Facility / Clinic
🏢 Loudoun Medical Group, Pc Facility NPI 1093839599

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Dulles, VA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -10.0 yrs vs City Avg
City Avg: 12.0 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
7 Specialists

Practicing in Dulles, VA (4432 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Park (2 Years) 2 Yrs
Dulles Specialty Average (12.0 Years) 12.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-08-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110010844

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
30018274670001 (VA)

Hospital & Practice Group Affiliations

Loudoun Medical Group, Pc

205 Hirst Rd, Purcellville, VA 201326602

Loudoun Medical Group, Pc

20955 Professional Plz, Ashburn, VA 201473405

Phone: 7037297652

Loudoun Medical Group, Pc

44055 Riverside Pkwy, Leesburg, VA 201765176

Secondary Practice Locations

Msc 4315 235 Martin Luther King Jr Way

Harrisonburg, VA 228070001

Phone: 5405687658

Practice Associates & Co-Workers

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

7 Associated Practitioners
Jessica Erim

Physician Assistant

NPI 1093479339
Dr. Geetha Pillai , MD

Internal Medicine

NPI 1356335301

Doctor of Medicine (M.D.)

Dr. Thomas Feely , MD

Internal Medicine

NPI 1477722890

Doctor of Medicine (M.D.)

Robin Woyach , CFNP

Nurse Practitioner - Family

NPI 1598759425
Megan George , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1720867781

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Catherine Williams

Nurse Practitioner - Family

NPI 1851870786

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 29, 2025

Registered at 24430 STONE SPRINGS BLVD SUITE 275, DULLES, VA 201662270 (Tel: 7038583220)

📍
Updated Business Mailing Address August 29, 2025

Registered at 224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 201762704 (Tel: 7037376010)

NPI Profile Active March 07, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2025

Registered at MSC 4315 235 MARTIN LUTHER KING JR WAY, HARRISONBURG, VA 228070001 (Tel: 5405687658)

📍
Updated Business Mailing Address March 07, 2025

Registered at MSC 4315 235 MARTIN LUTHER KING JR WAY, HARRISONBURG, VA 228070001

👤
Provider Name / Credentials Updated March 07, 2025

Recorded as SOO JUNG PARK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2025

Physician Assistant

🟢
Initial NPI Registration & Enumeration March 07, 2025

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: 1225836844
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2025
Last Update: August 29, 2025
Sole Proprietor: Yes

Mailing Address

224-D Cornwall Street, Nw, Suite 403

Leesburg, VA 201762704

Phone: 7037376010

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.