Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821797366 Individual Practitioner Male Practitioner

Jay Sungjae Park

Oral & Maxillofacial Surgery • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Jay Park is a registered healthcare professional specializing in Oral & Maxillofacial Surgery in Seattle, WA. Practice services are available at 1959 NE PACIFIC ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1959 Ne Pacific St

Seattle, WA 981950001

Telephone 4154890499
Associated Practice Facility / Clinic
🏢 University Of Washington Facility NPI 1326002049

Specialty Benchmarks & Practice Insights

Comparative analytics for Oral & Maxillofacial Surgery in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.7 Yrs
State Avg: 14.9 Yrs
Regional Practice Density
40 Specialists

Practicing in Seattle, WA (74 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

CMS Verified: 2023-07-01
Oral & Maxillofacial Surgery Primary Specialty

NUCC Taxonomy Code: 204E00000X

State License WA DR61425062

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Leonie Neville , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1003051160

Doctor of Pharmacy (Pharm.D.)

Dr. Alisa Kachikis , MD

Obstetrics & Gynecology - Maternal & Fetal Medicine

NPI 1003058025

Doctor of Medicine (M.D.)

Mary Dodge , MS, OTR, L

Occupational Therapist

NPI 1003074949

Master of Science, Occupational Therapist Registered, L

NPI 1003096462

Doctor of Medicine (M.D.)

Dr. Veda Tsoi , MD

Anesthesiology

NPI 1003109349

Doctor of Medicine (M.D.)

Dr. Kathryn Tamura , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1003109562

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 23, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 23, 2023

Registered at 1959 NE PACIFIC ST, SEATTLE, WA 981950001 (Tel: 4154890499)

📍
Updated Business Mailing Address February 23, 2023

Registered at 1959 NE PACIFIC STREET BOX 357134, SEATTLE, WA 981950001 (Tel: 4154890499)

👤
Provider Name / Credentials Updated February 23, 2023

Recorded as JAY PARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 23, 2023

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: 1821797366
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2023
Last Update: July 01, 2023
Sole Proprietor: No

Mailing Address

1959 Ne Pacific Street Box 357134

Seattle, WA 981950001

Phone: 4154890499

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.