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

Hiromichi S Park, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700313053

Hiromichi S Park, DO is an Infectious Disease in Las Vegas, Nevada. Graduated from Touro Un Col of Osteopathic Medicine, Henderson in 2017, 9 years ago. Practices with Ronald a Shockley MD a Professional Corporation, a 6-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Nevada and Oregon.

Years since qualifying
9
Trained at
Touro Un Col of Osteopathic Medicine, Henderson
Licensed in
NV, OR
In the registry since
2017
Specialties on file
2
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.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Las Vegas, NV
Fax: (702) 309-2177

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 2931 N Tenaya Way Ste 206, Las Vegas, NV 89128-0458 — (702) 309-2311

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence DO3259 (NV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence PG182644 (OR)

Record details

NPI number1700313053
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 17, 2017
Last updated in NPPESDecember 7, 2022
Certification dateDecember 7, 2022

Medicare enrollment

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

Medicare specialtyINFECTIOUS DISEASE
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduated 2017 (9 years in practice)
Group practice Ronald A Shockley Md A Professional Corporation — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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