Jae Hyung Park
Jae Hyung Park is an Interventional Pain Management in Sun City, Arizona. Qualified in 2015, 11 years ago. Practices with Novaspine Pain Institute PLC, a 21-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.
- Years since qualifying
- 11
- Licensed in
- AZ
- In the registry since
- 2015
Practice location Address checks out
13203 N 103rd Ave Ste H5Sun City, AZ 85351-3032
Phone: (623) 777-4747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3110 Clearwater Dr Ste B, Prescott, AZ 86305-7177 — (623) 516-8252
Specialties & licences
| Interventional Pain Medicine Physician (primary) | Taxonomy 208VP0014X · Licence 59983 (AZ) |
|---|
Record details
| NPI number | 1255727889 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 10, 2015 |
| Last updated in NPPES | September 13, 2024 |
| Certification date | September 13, 2024 |
Medicare enrollment
| Medicare specialty | INTERVENTIONAL PAIN MANAGEMENT |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Novaspine Pain Institute Plc — 21 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |