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

Dr. Habeeba Park, MD

Individual provider Surgical Critical Care Physician · NPI 1982897690

Dr. Habeeba Park, MD is a General Surgery in Johnson City, Tennessee. Graduated from University of Maryland School of Medicine in 2007, 19 years ago. Practices with Vanderbilt University Medical Center, a 3,466-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maryland, Tennessee and Virginia.

Years since qualifying
19
Trained at
University of Maryland School of Medicine
Licensed in
MD, TN, VA
In the registry since
2007
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

410 N State Of Franklin Rd Ste 130
Johnson City, TN 37604-6972
Phone: (423) 431-2477
Show map & directions

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

Additional practice locations (2)

  • 2401 W Belvedere Ave, Baltimore, MD 21215-5216 — (410) 601-0600
  • 3601 The Vanderbilt Clinic, Nashville, TN 37232-5216 — (615) 936-2000

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 62981 (TN)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 0101271735 (VA)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 62981 (TN)
Surgery Physician Taxonomy 208600000X · Licence 62981 (TN)
Surgery Physician Taxonomy 208600000X · Licence 0101271735 (VA)
Surgery Physician Taxonomy 208600000X · Licence P21944 (MD)

Record details

NPI number1982897690
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 26, 2007
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026
Mailing address3841 Green Hills Village Dr, Nashville, TN 37215-2691

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Vanderbilt University Medical Center — 3466 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare