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

Dr. Samuel Park III, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1295187136

Dr. Samuel Park III, MD is a Physical Medicine and Rehabilitation in Dover, Delaware. Qualified in 2016, 10 years ago. Practices with Pam Physician Enterprise, a 33-clinician group and accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
10
Licensed in
DE
In the registry since
2016
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

1240 McKee Rd
Dover, DE 19904-1381
Phone: (302) 672-5800
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence C1-0023852 (DE)

Record details

NPI number1295187136
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2016
Last updated in NPPESAugust 27, 2020
Certification dateAugust 27, 2020
Mailing address401 N Michigan Ave Ste 1200, Chicago, IL 60611-4264

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Pam Physician Enterprise — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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