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

John S Park, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1083690200

John S Park, MD is a Colorectal Surgery (Proctology) in Allentown, Pennsylvania. Qualified in 1995, 31 years ago. Practices with Colon Rectal Surgery Associates PC, a 5-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
31
Licensed in
PA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1255 S Cedar Crest Blvd Ste 3900
Allentown, PA 18103-6256
Phone: (610) 402-1095
Fax: (610) 435-5003
Show map & directions

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

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence MD071167L (PA)

Record details

NPI number1083690200
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 20, 2005
Last updated in NPPESMarch 18, 2015
Mailing address1255 S Cedar Crest Blvd, Suite 3900, Allentown, PA 18103-6256

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Colon Rectal Surgery Associates Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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