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

Soo Jung Park, PA-C

Individual provider Physician Assistant · NPI 1225836844

Soo Jung Park, PA-C is a Physician Assistant in Dulles, Virginia. Qualified in 2024, 2 years ago. Practices with Loudoun Medical Group, PC, a 274-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2025
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

24430 Stone Springs Blvd Ste 275
Dulles, VA 20166-2270
Phone: (703) 858-3220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Msc 4315 235 Martin Luther King Jr Way, Harrisonburg, VA 22807-0001 — (540) 568-7658

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110010844 (VA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1225836844
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 7, 2025
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Loudoun Medical Group, Pc — 274 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Dulles