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

Jeffrey D Park, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1316941164

Jeffrey D Park, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Phila, Pennsylvania. Qualified in 2001, 25 years ago. Practices with Huntingdon Valley Anesthesia Associates, a 43-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
25
Licensed in
PA
In the registry since
2005
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

2601 Holme Ave
Phila, PA 19152-2007
Phone: (215) 335-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN521643L (PA)

Record details

NPI number1316941164
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 9, 2005
Last updated in NPPESNovember 24, 2014

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Huntingdon Valley Anesthesia Associates — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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