Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Frederick Park, M.D., PH.D.

Gastroenterology Physician in Renton, WA · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013113208

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Registry record

Entity type Individual (Type 1)

Name Dr. Frederick Park

Credential M.D., PH.D.

Sex Male

Practice address 4011 Talbot Rd S, Ste 500, Renton, WA, 98055

Phone (425) 251-5110

Fax (425) 793-7380

Enumeration date Jun 25, 2007

Last updated in NPPES Nov 14, 2016

Taxonomy & licenses

207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians · License 60653608 (WA) Primary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License A106773 (CA) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
2061516	Medicaid	WA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Frederick Park's NPI record?

Cross-check NPI 1013113208 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1013113208 active?

Yes, as of the latest NPPES snapshot, NPI 1013113208 is active (record last updated 2016-11-14).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-11-14.