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

Jaeho Park, MD

Individual provider Internal Medicine Physician · NPI 1477384287

Jaeho Park, MD is a Gastroenterology in Little Rock, Arkansas. Qualified in 2002, 24 years ago. Practices with University of Arkansas for Medical Sciences, a 1,144-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
24
Licensed in
AR
In the registry since
2024
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4301 W Markham St # 520
Little Rock, AR 72205-7101
Phone: (501) 686-8000
Fax: (501) 526-5148
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence E-18398 (AR)
Internal Medicine Physician Taxonomy 207R00000X · Licence E-18398 (AR)

Record details

NPI number1477384287
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 13, 2024
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice University Of Arkansas For Medical Sciences — 1144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Little Rock