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

Roger Timothy Park, DO

Individual provider Family Medicine Physician · NPI 1295713444

Roger Timothy Park, DO is a Family Practice in Hyde Park, Utah. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2005, 21 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
21
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
UT
In the registry since
2006
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.

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Practice location Address checks out

4088 US-91
Hyde Park, UT 84318
Phone: (435) 563-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 8647453-1204 (UT)

Record details

NPI number1295713444
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 6, 2006
Last updated in NPPESMay 14, 2021
Certification dateApril 21, 2021
Mailing address4088 Us-91, Hyde Park, UT 84318

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2005 (21 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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