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

Thomas Yoon Park

Individual provider Family Medicine Physician · NPI 1073253639

Thomas Yoon Park is a Family Practice in Shepherdstown, West Virginia. Qualified in 2022, 4 years ago. Practices with West Virginia University Medical Corporation, a 1,981-clinician group, accepts Medicare assignment and offers telehealth. Licensed in West Virginia.

Years since qualifying
4
Licensed in
WV
In the registry since
2022

Practice location Address checks out

60 Maclaine Way
Shepherdstown, WV 25443-1667
Phone: (304) 876-6343
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35168 (WV)

Record details

NPI number1073253639
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2022
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025
Mailing address60 Maclaine Way, Shepherdstown, WV 25443-1667

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice West Virginia University Medical Corporation — 1981 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Shepherdstown