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

John Yung Park, DO

Individual provider Hospitalist Physician · NPI 1811255268

John Yung Park, DO is a Hospitalist in Ardmore, Oklahoma. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2012, 14 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Oklahoma and Wisconsin.

Years since qualifying
14
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
OK, WI
In the registry since
2012
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1011 14th Ave NW
Ardmore, OK 73401-1828
Phone: (580) 220-6132
Show map & directions

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

Additional practice locations (3)

  • 1818 N Meade St, Appleton, WI 54911-3454 — (920) 731-4101
  • 130 2nd St, Neenah, WI 54956-2883 — (920) 729-2155
  • 1405 Mill St, New London, WI 54961-2155 — (920) 531-2000

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 81127 (WI)
Hospitalist Physician Taxonomy 208M00000X · Licence 5790 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Internal Medicine Physician Taxonomy 207R00000X · Licence 5790 (OK)

Record details

NPI number1811255268
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 23, 2012
Last updated in NPPESMay 10, 2023
Certification dateMay 10, 2023
Mailing address3 Neenah Ctr, Neenah, WI 54956-3070

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2012 (14 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ardmore