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

Jae Yoon Park, MD

Individual provider Cardiovascular Disease Physician · NPI 1962798397

Jae Yoon Park, MD is an Interventional Cardiology in York, Pennsylvania. Graduated from Vanderbilt University School of Medicine in 2011, 15 years ago. Practices with Wellspan Medical Group, a 2,342-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona, Massachusetts, Minnesota and Pennsylvania.

Years since qualifying
15
Trained at
Vanderbilt University School of Medicine
Licensed in
AZ, MA, MN, PA
In the registry since
2011
Specialties on file
6
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

30 Monument Rd
York, PA 17403-5024
Phone: (717) 851-2441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4729 E Camp Lowell Dr, Tucson, AZ 85712-1256 — (520) 838-3540

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence MD487523C (PA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 55416 (MN)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence T292227 (MA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 55416 (MN)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 69610 (AZ)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence T292227 (MA)

Record details

NPI number1962798397
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2011
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing address601 Memory Ln, York, PA 17402-2231

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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