IndividualActive
Joon Park, M.D.
NPI 1700031952 · General Practice Physician · Portage, MI
Joon Park, M.D. is a General Practice Physician provider in Portage, MI (NPI 1700031952).
Provider details
- NPI number
- 1700031952
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 4301065839 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
430 W Centre Ave
Portage, MI 49024
Phone: (269) 321-6673
Street-level locationGet directions
Mailing address
430 W Centre Ave
Portage, MI 49024
Registry dates
- Enumerated
- 2008-12-01
- Last updated
- 2008-12-01
Frequently asked questions
- What is Joon Park's NPI number?
- Joon Park's National Provider Identifier (NPI) is 1700031952, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Joon Park's specialty?
- Joon Park is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Joon Park located?
- Joon Park's practice location on file with NPPES is 430 W Centre Ave, Portage, MI 49024.
- What is Joon Park's phone number?
- The practice phone number listed in the NPPES registry for Joon Park is (269) 321-6673.
- Is Joon Park's NPI active?
- Yes — Joon Park's NPI (1700031952) is active in the NPPES registry as of the last update on 2008-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.