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Benjamin L Park, DO

Anesthesiology Physician in Sayre, PA · enumerated 2011.

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

National Provider Identifier

1205121639

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Registry record

Entity type Individual (Type 1)
Name Benjamin L Park
Credential DO
Sex Male
Practice address 1 Guthrie Sq, Sayre, PA, 18840
Phone (570) 887-5583
Enumeration date Jun 14, 2011
Last updated in NPPES Mar 4, 2021

Taxonomy & licenses

207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians · License OS017425 (PA) Primary
390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
1030313710001 Medicaid PA -

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

Where does Benjamin Park practice?
The practice location on file with NPPES is in Sayre, PA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Benjamin Park?
The National Provider Identifier (NPI) for Benjamin Park is 1205121639, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-04.