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

Dr. Jaehyeon Park, MD

Individual provider Family Medicine Physician · NPI 1447802681

Dr. Jaehyeon Park, MD is a Family Medicine Physician in Rolla, Missouri. Works from 2 locations. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2019
Specialties on file
2
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

1605 Martin Springs Dr Ste 230
Rolla, MO 65401-2980
Phone: (573) 458-6326
Show map & directions

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

Additional practice locations (1)

  • 102 W Kenwood Ave Ste 100, Decatur, IL 62526-4379 — (217) 872-3800

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2022025511 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 125-075031 (IL)

Record details

NPI number1447802681
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 9, 2019
Last updated in NPPESJuly 22, 2022
Certification dateJuly 22, 2022

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