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

Chan M Park, M.D.

Family Medicine Physician in Ridgeway, VA · enumerated 2006 · practices at Chan M Park Family Practice.

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

National Provider Identifier

1457467037

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Registry record

Entity type Individual (Type 1)

Name Chan M Park

Credential M.D.

Sex Male

Practice address Ridgeway, VA, 24148

Phone (276) 956-2047

Fax (276) 956-1637

Enumeration date Aug 23, 2006

Last updated in NPPES Jul 8, 2007

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

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 0101229138 (VA) 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
010011019	Medicaid	VA	-
463669	Other	VA	ANTHEM, BCBS OF VIRGINIA
A1738	Other	-	MEDCOST PREFERRED
3506280	Other	-	CIGNA
0005372768	Other	-	AETNA
2108815	Other	-	MAMSI

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 1457467037 active?

Yes, as of the latest NPPES snapshot, NPI 1457467037 is active (record last updated 2007-07-08).

How do I verify Chan Park's NPI record?

Cross-check NPI 1457467037 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

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Chan M Park Family Practice Family Medicine Physician · Ridgeway, VA NPI 1164243986

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.