Minjae Park
NPI 1649036104 · Student in an Organized Health Care Education/Training Program · Fort Gordon, GA
Minjae Park is a Student in an Organized Health Care Education/Training Program provider in Fort Gordon, GA (NPI 1649036104).
Provider details
- NPI number
- 1649036104
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% 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
Mailing address
Registry dates
- Enumerated
- 2024-02-22
- Last updated
- 2024-02-22
- Certified
- 2024-02-20
Frequently asked questions
- What is Minjae Park's NPI number?
- Minjae Park's National Provider Identifier (NPI) is 1649036104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Minjae Park's specialty?
- Minjae Park is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Minjae Park located?
- Minjae Park's practice location on file with NPPES is 300 East Hospital Road, Fort Gordon, GA 30905-5650.
- What is Minjae Park's phone number?
- The practice phone number listed in the NPPES registry for Minjae Park is (706) 787-2090.
- Is Minjae Park's NPI active?
- Yes — Minjae Park's NPI (1649036104) is active in the NPPES registry as of the last update on 2024-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.