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

Dr. Jonathon Lex Park, MD

Family Medicine Physician in Bandon, OR · enumerated 2005.

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

National Provider Identifier

1588649289

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Registry record

Entity type Individual (Type 1)

Name Dr. Jonathon Lex Park

Credential MD

Sex Male

Practice address Bandon, OR, 97411

Phone (541) 347-2313

Fax (541) 347-2015

Enumeration date Dec 14, 2005

Last updated in NPPES Oct 9, 2013

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 MD23699 (OR) 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
R0000WFBTV	Other	OR	MEDICARE GROUP PIN NUMBER
1407812365	Other	OR	NBMC GROUP NPI NUMBER
93063551	Other	OR	GROUP TAX ID NUMBER
CD8723	Other	OR	RR MEDICARE GROUP NUMBER
080182358	Other	OR	RR MEDICARE PTAN NUMBER
286887	Medicaid	OR	-

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 → Validate an NPI →

Frequently asked questions

Is NPI 1588649289 active?

Yes, as of the latest NPPES snapshot, NPI 1588649289 is active (record last updated 2013-10-09).

How do I verify Jonathon Park's NPI record?

Cross-check NPI 1588649289 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

Browse all →

Mary Anker Nurse Practitioner · Bandon, OR NPI 1568451383 Suzanne Yost Primary Care Nurse Practitioner · Bandon, OR NPI 1982667218 Jessica Shrock Family Nurse Practitioner · Bandon, OR NPI 1184075715 Heather Sullivan Family Nurse Practitioner · Bandon, OR NPI 1205383890 Anna Dodd Family Nurse Practitioner · Bandon, OR NPI 1023582673 Tracy Merriam Clinical Social Worker · Bandon, OR NPI 1104572288

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-10-09.