Individual provider · Type 1 NPI

John Moonkeun Park, MD

Vascular Surgery Physician · Omaha, NE

NPI number 1023394665 Active

Practice location

17404 Burke St Ste 102
Omaha, NE 68118-2242

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician 2086S0129X35.095909 (OH)
Surgery Physician 208600000X35.095909 (OH)
Vascular Surgery Physician Primary 2086S0129X26509 (NE)
Vascular Surgery Physician 2086S0129X40563 (IA)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

5 other providers at this address

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About NPI 1023394665

John Moonkeun Park, MD's National Provider Identifier is 1023394665, issued on Oct 27, 2011. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Omaha, NE. The record was last updated on Sep 23, 2025.