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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Frederick Kim Park, M.D.

Plastic Surgery Physician in Rocky Mount, NC · enumerated 2006.

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

National Provider Identifier

1407964547

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Registry record

Entity type Individual (Type 1)
Name Frederick Kim Park
Credential M.D.
Sex Male
Practice address 4008 Capital Drive, Rocky Mount, NC, 27804
Phone (252) 937-5003
Fax (252) 937-3020
Enumeration date Aug 28, 2006
Last updated in NPPES Aug 11, 2025

Taxonomy & licenses

208200000X Plastic Surgery Physician Allopathic & Osteopathic Physicians · License 36793 (NC) 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
1407964547 Medicaid NC -

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 NPI 1407964547 active?
Yes, as of the latest NPPES snapshot, NPI 1407964547 is active (record last updated 2025-08-11).
How do I verify Frederick Park's NPI record?
Cross-check NPI 1407964547 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-08-11.