IndividualActive
Soon Park, MD
NPI 1104819135 · Anesthesiology Physician · Fort Thomas, KY
Soon Park, MD is a Anesthesiology Physician provider in Fort Thomas, KY (NPI 1104819135).
Provider details
- NPI number
- 1104819135
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- 18823 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
85 N Grand Ave
Fort Thomas, KY 41075-1793
Phone: (513) 672-3309
Fax: (513) 672-3323
Street-level locationGet directions
Mailing address
11490 Springfield Pike
Cincinnati, OH 45246-3524
Registry dates
- Enumerated
- 2005-08-24
- Last updated
- 2007-07-08
Frequently asked questions
- What is Soon Park's NPI number?
- Soon Park's National Provider Identifier (NPI) is 1104819135, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Soon Park's specialty?
- Soon Park is listed in the NPPES registry with a primary specialty of Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Soon Park located?
- Soon Park's practice location on file with NPPES is 85 N Grand Ave, Fort Thomas, KY 41075-1793.
- What is Soon Park's phone number?
- The practice phone number listed in the NPPES registry for Soon Park is (513) 672-3309.
- Is Soon Park's NPI active?
- Yes — Soon Park's NPI (1104819135) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.