EDYTHE B. PARK M.D. – NPI #1073699120
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

EDYTHE PARK is a physician located in OCALA, FL. NPPES has assigned the NPI number 1073699120 to EDYTHE PARK on October 31, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 3 years ago on Mar 07, 2023. 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 EDYTHE PARK below.

NPI Profile for
EDYTHE B. PARK

NPI Number
1073699120
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
EDYTHE B. PARK
Credentials
M.D.
Primary location
2725 SE MARICAMP RD
OCALA, FL 34471-5537
Phone: (352) 369-8700 Fax: (352) 369-8703
Mailing address
2725 S.E. MARICAMP ROAD
OCALA, FL 34471
Phone: (352) 369-8700 Fax: (352) 369-8703
Sole Proprietor
No
Updated
Identifiers

Identifiers for EDYTHE PARK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherSTATE LICENSEFLME100186
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
208000000X
- Pediatrics (Primary)
FL ME100186
173000000X
- Legal Medicine

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.