GORDON S. PARK MD – NPI #1881784403
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

GORDON PARK is a physician located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1881784403 to GORDON PARK on October 13, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 12 years ago on Jan 30, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GORDON PARK below.

NPI Profile for
GORDON S. PARK

NPI Number
1881784403
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GORDON S. PARK
Credentials
MD
Primary location
3730 W 4700 S
SALT LAKE CITY, UT 84129-3457
Phone: (801) 213-9200 Fax: (801) 213-9202
Mailing address
PO BOX 510708
SALT LAKE CITY, UT 84151-0708
Phone: (801) 213-9200 Fax: (801) 213-9202
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)
UT 114124-1205

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.