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

John Park

Individual provider Certified Registered Nurse Anesthetist · NPI 1831769538

John Park is a Certified Registered Nurse Anesthetist (CRNA) in Mobile, Alabama. Qualified in 2023, 3 years ago. Practices with St Alphonsus Professional Medical Services LLC, a 123-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
3
Licensed in
AL
In the registry since
2021
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Practice location Address checks out

2451 University Hospital Dr
Mobile, AL 36617-2300
Phone: (509) 339-4348
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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 143421 (AL)

Record details

NPI number1831769538
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 26, 2021
Last updated in NPPESMay 5, 2023
Certification dateMay 5, 2023
Mailing address151 Du Rhu Dr Apt 2407, Mobile, AL 36608-1274

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice St Alphonsus Professional Medical Services Llc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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