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

Jesse Aaron Park

Individual provider Emergency Medicine Physician · NPI 1487079190

Jesse Aaron Park is an Emergency Medicine in Wyandotte, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2014, 12 years ago. Practices with The Toledo Hospital, a 119-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2014
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Practice location Address checks out

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone: (734) 287-9029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5101020914 (MI)

Record details

NPI number1487079190
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 4, 2014
Last updated in NPPESFebruary 29, 2024
Certification dateJune 29, 2022
Mailing address2333 Biddle Ave, Wyandotte, MI 48192-4668

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2014 (12 years in practice)
Group practice The Toledo Hospital — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Wyandotte