Dr. Chan J. Park, MD
Dr. Chan J. Park is a Surgery Physician provider (Surgery) practicing in Vermillion, SD, registered in the NPPES registry with NPI 1306894332 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1306894332 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Chan J. Park |
| Credential | MD |
| Sex | Male |
| Practice address | 20 S PLUM ST, Vermillion, SD, 57069 |
| Phone | 6056249111 |
| Fax | 6056246636 |
| Enumeration date | 2006-05-04 |
| Last updated in NPPES | 2013-09-12 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 5009 | SD |
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 |
|---|---|---|---|
| 7301822 | Medicaid | SD | — |
Copy-ready billing details
Provider: Chan Park, MD NPI: 1306894332 Taxonomy: 208600000X (Surgery Physician) Address: 20 S PLUM ST, Vermillion, SD, 57069
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1013914597 | Mary Olson | Individual | Family Medicine Physician | Vermillion, SD |
| 1790782282 | Victoria Walker | Individual | Family Medicine Physician | Vermillion, SD |
| 1417954918 | Roy Mortinsen | Individual | Emergency Medicine Physician | Vermillion, SD |
| 1770580177 | Judith Nelson | Individual | Family Nurse Practitioner | Vermillion, SD |
| 1790721280 | Sanford Health Network | Organization | Critical Access Hospital | Vermillion, SD |
| 1437182573 | Dayna Semchenko | Individual | Physician Assistant | Vermillion, SD |
| 1417976846 | Sanford Health Network | Organization | Critical Access Hospital | Vermillion, SD |
| 1013921733 | Sanford Health Network | Organization | Family Medicine Physician | Vermillion, SD |
Verify this record
Cross-check NPI 1306894332 against the authoritative CMS record: view Dr. Chan J. Park on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-09-12.