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

Stephen S. Park

Individual provider Otolaryngology Physician · NPI 1457420085

Stephen S. Park is an Otolaryngology in Charlottesville, Virginia. Graduated from University of Michigan Medical School in 1988, 38 years ago. Practices with University of Virginia Physicians Group, a 1,667-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
38
Trained at
University of Michigan Medical School
Licensed in
VA
In the registry since
2006
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Practice location Address checks out

415 Ray C Hunt Dr
Charlottesville, VA 22903-2980
Phone: (434) 924-5700
Fax: (434) 924-1736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1215 Lee St, Charlottesville, VA 22908-2980 — (434) 924-0211

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 0101050773 (VA)

Record details

NPI number1457420085
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 7, 2006
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023
Mailing addressPo Box 9007, Charlottesville, VA 22906-9007

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1988 (38 years in practice)
Group practice University Of Virginia Physicians Group — 1667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Charlottesville