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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Sung Eun Park, MD

Pediatrics Physician in Issaquah, WA · enumerated 2008 · practices at Lighthouse Pediatric Medicine Pllc.

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

National Provider Identifier

1215103171

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Registry record

Entity type Individual (Type 1)
Name Dr. Sung Eun Park
Credential MD
Sex Male
Practice address Issaquah, WA, 98027
Phone (425) 357-7082
Fax (425) 437-5259
Enumeration date May 1, 2008
Last updated in NPPES Sep 26, 2024

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 6353386-1205 (UT) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License MD61491409 (WA) Primary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 036120274 (IL) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License M11886 (ID) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

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 Sung Park practice?
The practice location on file with NPPES is in Issaquah, WA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Sung Park?
The National Provider Identifier (NPI) for Sung Park is 1215103171, 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 2024-09-26.