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

Dr. Frederick Park, MD, PHD

Individual provider Gastroenterology Physician · NPI 1013113208

Dr. Frederick Park, MD, PHD is a Gastroenterology in Renton, Washington. Graduated from University of Washington School of Medicine in 2006, 20 years ago. Practices with Valley Medical Group-Renton, a 422-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Washington.

Years since qualifying
20
Trained at
University of Washington School of Medicine
Licensed in
CA, WA
In the registry since
2007
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

4011 Talbot Rd S Ste 500
Renton, WA 98055-5773
Phone: (425) 251-5110
Fax: (425) 793-7380
Show map & directions

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

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 60653608 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A106773 (CA)

Record details

NPI number1013113208
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedJune 25, 2007
Last updated in NPPESNovember 14, 2016
Mailing addressPo Box 59028, Renton, WA 98058-2028

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Valley Medical Group-Renton — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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