Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chan Jerome Park, MD, PHD

Individual provider Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1932498722

Chan Jerome Park, MD, PHD is a Thoracic Surgery in Las Vegas, Nevada. Graduated from Harvard Medical School in 2001, 25 years ago. Practices with Dignity Health Medical Group Nevada LLC, a 124-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
25
Trained at
Harvard Medical School
Licensed in
NV
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

7190 S Cimarron Rd
Las Vegas, NV 89113-2171
Phone: (702) 675-3240
Fax: (702) 982-6347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 20992 (NV)

Record details

NPI number1932498722
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedMarch 31, 2011
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing addressPo Box 33269, Phoenix, AZ 85067-3269

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyTHORACIC SURGERY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 2001 (25 years in practice)
Group practice Dignity Health Medical Group Nevada Llc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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