NPI 1023394665

John Moonkeun Park, MD

Practitioner Vascular Surgery Physician Omaha, NE

Practice location

Address: 17404 Burke St STE 102, Omaha, NE 68118-2242
Phone: (531) 466-4260

Registered specialties (4)

Vascular Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 26509 (NE)

Other Surgery providers in Nebraska →

Vascular Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 35.095909 (OH)

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 35.095909 (OH)

Vascular Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 40563 (IA)

Registry record

NPI: 1023394665
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Oct 2011
Record last updated: 23 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.