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

Pauline Kyonsook Park, MD

Individual provider Surgery Physician · NPI 1831119528

Pauline Kyonsook Park, MD is a Critical Care (Intensivists) in Ann Arbor, Michigan. Graduated from Jefferson Medical College of Thomas Jefferson University in 1982, 44 years ago. Practices with Regents of the University of Michigan, a 3,271-clinician group and accepts Medicare assignment. Licensed in Michigan and Pennsylvania.

Years since qualifying
44
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
MI, PA
In the registry since
2006
Specialties on file
5
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

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone: (734) 936-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 4301089001 (MI)
Surgery Physician Taxonomy 208600000X · Licence 4301089001 (MI)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence MD030406E (PA)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence MD030406E (PA)
Surgery Physician Taxonomy 208600000X · Licence MD030406E (PA)

Record details

NPI number1831119528
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesGENERAL SURGERY
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 1982 (44 years in practice)
Group practice Regents Of The University Of Michigan — 3271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

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