NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. John Moonkeun Park, MD

Vascular Surgery Physician in Omaha, NE · enumerated 2011 · practices at Advanced Vascular and Vein Center LLC.

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

National Provider Identifier

1023394665

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Registry record

Entity type Individual (Type 1)
Name Dr. John Moonkeun Park
Credential MD
Sex Male
Practice address 17404 Burke St Ste 102, Omaha, NE, 68118
Phone (531) 466-4260
Enumeration date Oct 27, 2011
Last updated in NPPES Sep 23, 2025

Taxonomy & licenses

2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License 35.095909 (OH) Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 35.095909 (OH) Secondary
2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License 26509 (NE) Primary
2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License 40563 (IA) 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
10025724800 Medicaid NE -
10026135100 Medicaid NE -
1023394665 Medicaid IA -
47068731713 Medicaid NE -
10026454700 Medicaid NE -

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

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is John Park?
John Park is registered in NPPES with the primary taxonomy of Vascular Surgery Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-23.