Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Justin Park, M.D.

Orthopaedic Surgery of the Spine Physician in Glen Burnie, MD · enumerated 2007.

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

National Provider Identifier

1265625941

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Registry record

Entity type Individual (Type 1)

Name Justin Park

Credential M.D.

Sex Male

Practice address 1600 Crain Hwy S, Suite 401, Glen Burnie, MD, 21061

Phone (410) 768-5050

Fax (410) 768-7830

Enumeration date Aug 25, 2007

Last updated in NPPES Apr 15, 2013

Taxonomy & licenses

207XS0117X Orthopaedic Surgery of the Spine Physician Allopathic & Osteopathic Physicians · License 43955 (KY) Secondary

207XS0117X Orthopaedic Surgery of the Spine Physician Allopathic & Osteopathic Physicians · License D0073546 (MD) Primary

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
253616	Other	MD	JHHC
6831-0019	Other	MD	CAREFIRST
K007170	Other	KY	MEDICARE PTAN-- NORTON LEATHERMAN SPINE
231508400	Medicaid	MD	-
6029607	Other	MD	CIGNA
9804676	Other	MD	AETNA PPO
8543972	Other	MD	AETNA HMO

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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 Justin Park?

Justin Park is registered in NPPES with the primary taxonomy of Orthopaedic Surgery of the Spine 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 2013-04-15.