JERRY W. PARK (D.O.) – Family Medicine Physician, NPI 1245337153

Family Medicine Physician

JERRY W. PARK (D.O.) is a healthcare provider. based in Spokane, Washington. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. OP00001729 (WA). The NPI Number for JERRY W. PARK (D.O.) is 1245337153

Main info

Male

45 Years Of Experience

Name

JERRY W. PARK (D.O.)

NPI

1245337153

Phone

(509) 466-3089

Address

7511 N PANORAMA DR

Enumeration Date

20 September 2006

Last Update Date

8 July 2007

Doctor Profile

Medical School Name

AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE

Secondary Phone

5094674545

Graduation Year

1981 (45 years ago)

PAC ID

6608818901

Group Practice PAC ID

8022356617

Professional Enrollment ID

I20050526000517

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JERRY W. PARK (D.O.)

7511, North Panorama Drive, Panorama Terrace, Spokane, Spokane County, Washington, 99208, United States
SPOKANE, WA 992088431
Phone: (509) 466-3089
Type: Mailing
Lebanon Deli & Grocery, 9222, North Newport Highway, The Y, Spokane, Spokane County, Washington, 99021, United States
STE 1
SPOKANE, WA 992181235
Phone: (509) 467-4545
Fax: (509) 467-2304
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99208)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 8022356617View full group profile

Name	Specialty	State
LAUREN LIN HART (MD)	Emergency Medicine	CA
NATHAN K SCOTT (PAC)	Physician Assistant	WA
MICHAEL C CHARLES (ARNP)	Nurse Practitioner	WA
JACQULINE KALAPURAKKAL FRANCIS (ARNP, FNP)	Nurse Practitioner	TX
DR. SHANE OP BROOKS (DO)	Emergency Medicine	WA
MR. EDUARDO ROBERTO FAYTONG (PA-C)	-	WA
EILEEN FRANCES GIBBONS (M.D.)	Family Practice	WA
DR. MOHAMMAD SALMAN FIDAHUSAIN (M.D.)	-	NY
MR. CHRISTOPHER RAYMOND HUGHES (PA-C)	-	WA
MS. CORTNEY DANIELLE WEBB (PA-C)	Physician Assistant	WA

Reviews

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Frequently asked questions

Does JERRY W. PARK (D.O.) have a public NPI I can cite?

Public records show JERRY W. PARK (D.O.) under NPI 1245337153.

Should I treat JERRY W. PARK (D.O.) as an active provider?

Patients and plans typically see JERRY W. PARK (D.O.) as active in the national extract.

How should patients interpret JERRY W. PARK (D.O.)'s specialty?

The extract shows Family Medicine Physician for JERRY W. PARK (D.O.). Clinical services aligned with this taxonomy classification.

What geographic area is tied to JERRY W. PARK (D.O.)?

JERRY W. PARK (D.O.) is associated with Spokane, Washington in the same public data insurers reference.

Can I export JERRY W. PARK (D.O.)'s record?

You can download the official NPPES record; we summarize key fields for readability.

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