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

David Taegon Park, DO

Individual provider Neurology Physician · NPI 1275766453

David Taegon Park, DO is a Neurology in Wynnewood, Pennsylvania. Graduated from Kansas City University of Physicians and Surgeons in 2009, 17 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
17
Trained at
Kansas City University of Physicians and Surgeons
Licensed in
PA
In the registry since
2009
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

100 E Lancaster Ave Ste 256 Lankenau Mob East
Wynnewood, PA 19096-3450
Phone: (484) 572-6300
Fax: (484) 572-6305
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence OS017068 (PA)

Record details

NPI number1275766453
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 3, 2009
Last updated in NPPESOctober 22, 2015
Mailing address100 E Lancaster Ave, Suite 256 Lankenau Mob East, Wynnewood, PA 19096-3450

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolKANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduated 2009 (17 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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