SOON J. PARK M.D. – NPI #1891716544
Thoracic Surgery (Cardiothoracic Vascular Surgery)

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Health Care Provider Taxonomy Code for Thoracic Surgery (Cardiothoracic Vascular Surgery)

SOON PARK is a thoracic surgeon located in ALBANY, NY. NPPES has assigned the NPI number 1891716544 to SOON PARK on July 21, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 208G00000X from the Health Care Provider Taxonomy code set, which is classified as Thoracic Surgery (Cardiothoracic Vascular Surgery).

The NPI profile was previously updated about 4 years ago on Oct 20, 2022. 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 SOON PARK below.

NPI Profile for
SOON J. PARK

NPI Number
1891716544
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SOON J. PARK
Credentials
M.D.
Primary location
319 S MANNING BLVD STE 110A
ALBANY, NY 12208-1743
Phone: (518) 525-2525 Fax:
2 Other location(s):
1735 Route 9
Halfmoon, NY 12065-2421
Phone: (518) 525-2525
7255 Old Oak Blvd Ste B-311
Cleveland, OH 44130-3329
Phone: (440) 816-2638
Mailing address
PO BOX 14890
ALBANY, NY 12212-4890
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Oct 20, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SOON 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
medicaidMN609723500
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
208G00000X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) (Primary)		 NY 294105

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
SPHP PAYER CREDENTIALING
Content Type
OTHER
Affiliation
N
Endpoint Location
319 S MANNING BLVD STE 110A,
ALBANY, NY 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
Y
Endpoint Location
7255 OLD OAK BLVD STE B-311,
CLEVELAND, OH 77025-1669

Additional Information

Education
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE - Graduated 1987
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SOON PARK is affiliated with the following medical group(s):
  • HOSPITAL
    • SAMARITAN HOSPITAL OF TROY, NEW YORK
      2215 BURDETT AVENUE
      TROY, NY 12180
    • ST PETER'S HOSPITAL
      315 SOUTH MANNING BOULEVARD
      ALBANY, NY 12208
  • HOME HEALTH AGENCY
    • EDDY VISITING NURSE & REHAB ASSOCIATION
      433 RIVER STREET SUITE 3000
      TROY, NY 12180

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.