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

Dr. Kyu-Sik Park, MD

Individual provider Anesthesiology Physician · NPI 1952443202

Dr. Kyu-Sik Park, MD is an Anesthesiology in Cottonwood, Arizona. Graduated from Indiana University School of Medicine in 2005, 21 years ago. Practices with Northern Arizona Healthcare Corporation, a 395-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Kentucky.

Years since qualifying
21
Trained at
Indiana University School of Medicine
Licensed in
AZ, KY
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.

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Practice location Address checks out

269 S Candy Ln
Cottonwood, AZ 86326
Phone: (928) 639-6150
Show map & directions

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

Additional practice locations (1)

  • 416 E Monroe St Ste 200, South Bend, IN 46601-2360 — (574) 232-8119

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 75588 (AZ)
Anesthesiology Physician Taxonomy 207L00000X · Licence IP922 (KY)

Record details

NPI number1952443202
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 13, 2007
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Northern Arizona Healthcare Corporation — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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