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

Heesun Park

Individual provider Audiologist · NPI 1952297392

Heesun Park is a Qualified Audiologist in Fairfax, Virginia. Qualified in 2025, 1 year ago. Practices with Otolaryngology Associates PC, a 31-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
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Practice location Address checks out

3801 University Dr Fl 3
Fairfax, VA 22030-2503
Phone: (703) 383-8130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1850 Town Center Pkwy Ste 305, Reston, VA 20190-3300 — (703) 834-2900

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X

Record details

NPI number1952297392
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 13, 2025
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing address11410 Reston Station Blvd Apt 337, Reston, VA 20190-5415

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Otolaryngology Associates Pc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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