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

Dr. Chan W. Park, MD

Individual provider Surgery Physician · NPI 1720283153

Dr. Chan W. Park, MD is a General Surgery in Honolulu, Hawaii. Graduated from Jefferson Medical College of Thomas Jefferson University in 2005, 21 years ago. Practices with Pali Momi Medical Center, a 90-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
21
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
HI
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Jarrett White Rd Dept OF Surgery - 2 Oceanside
Honolulu, HI 96859
Phone: (808) 433-1730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD-16643 (HI)

Record details

NPI number1720283153
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2007
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023
Mailing address1650 Ala Moana Blvd Apt 913, Honolulu, HI 96815-1464

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2005 (21 years in practice)
Group practice Pali Momi Medical Center — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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