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

Edward Y Park, DO

Individual provider Nephrology Physician · NPI 1497783971

Edward Y Park, DO is a Nephrology in Tempe, Arizona. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2003, 23 years ago. Practices with Southwest Kidney Institute PLC, a 100-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
23
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
AZ
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2149 E Warner Rd Ste 102
Tempe, AZ 85284-3495
Phone: (480) 610-6100
Fax: (480) 464-0189
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 4218 (AZ)

Record details

NPI number1497783971
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESJanuary 19, 2017
Mailing address2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3494

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2003 (23 years in practice)
Group practice Southwest Kidney Institute Plc — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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