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

Michael Park

Individual provider Medical Physician Assistant · NPI 1790724904

Michael Park is a Physician Assistant in Pinehurst, North Carolina. Qualified in 1996, 30 years ago. Practices with University of Pittsburgh Physicians, a 4,127-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
30
Licensed in
NC
In the registry since
2006

Practice location Address checks out

30 Memorial Dr Ste 3950
Pinehurst, NC 28374-8707
Phone: (910) 295-4400
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 103478 (NC)

Record details

NPI number1790724904
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESMay 24, 2021
Mailing address30 Memorial Dr, Suite 3950, Pinehurst, NC 28374-8707

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice University Of Pittsburgh Physicians — 4127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pinehurst