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

Youngok Jade Park, MD

Individual provider Anesthesiology Physician · NPI 1629229976

Youngok Jade Park, MD is an Anesthesiology in Columbia, Missouri. Qualified in 1998, 28 years ago. Practices with Fielden, Hanson, Isaacs, Miyada, Robison, Yeh Ltd, a 177-clinician group and accepts Medicare assignment. Licensed in Missouri, Nevada and Pennsylvania.

Years since qualifying
28
Licensed in
MO, NV, PA
In the registry since
2008
Specialties on file
3
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

404 N Keene St
Columbia, MO 65201-6626
Phone: (573) 882-2568
Fax: (573) 882-2226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 25380 (NV)
Anesthesiology Physician Taxonomy 207L00000X · Licence MD448620 (PA)
Anesthesiology Physician Taxonomy 207L00000X · Licence 2019033100 (MO)

Record details

NPI number1629229976
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 6, 2008
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024
Mailing addressPo Box 843966, Kansas City, MO 64184-3966

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Fielden,Hanson,Isaacs,Miyada,Robison,Yeh Ltd — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Columbia