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

Jin Hong Park, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1225403140

Jin Hong Park, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Winchester, Virginia. Qualified in 2015, 11 years ago. Practices with Old Dominion Anesthesia LLC, a 57-clinician group and accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
11
Licensed in
MD, VA
In the registry since
2015
Specialties on file
2
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

1840 Amherst St
Winchester, VA 22601-2808
Phone: (540) 536-8000
Fax: (540) 536-7780
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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 AC002924 (MD)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 0024173098 (VA)

Record details

NPI number1225403140
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 3, 2015
Last updated in NPPESFebruary 19, 2020
Certification dateFebruary 19, 2020

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Old Dominion Anesthesia Llc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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