Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jesse Aaron Park

Emergency Medicine Physician in Wyandotte, MI · enumerated 2014.

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

National Provider Identifier

1487079190

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Registry record

Entity type Individual (Type 1)

Name Jesse Aaron Park

Sex Male

Practice address 2333 Biddle Ave, Wyandotte, MI, 48192

Phone (734) 287-9029

Enumeration date Mar 4, 2014

Last updated in NPPES Feb 29, 2024

Taxonomy & licenses

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 5101020914 (MI) Primary

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

How do I verify Jesse Park's NPI record?

Cross-check NPI 1487079190 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1487079190 active?

Yes, as of the latest NPPES snapshot, NPI 1487079190 is active (record last updated 2024-02-29).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-29.