DR. JAI S PARK (M.D.) – Spinal Cord Injury Medicine Physician, NPI 1013972702
Spinal Cord Injury Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. JAI S PARK (M.D.)
310, Lincoln Street, Waterloo, Black Hawk County, Iowa, 50703, United States
WATERLOO, IL 622981613
Phone: (618) 939-8161
Type: Mailing
VA St. Louis Health Care System - Jefferson Barracks Division, 1, Jefferson Barracks Drive, Lemay, Saint Louis County, Missouri, 63123, United States
SAINT LOUIS, MO 631254181
Phone: (314) 652-4100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-06-07
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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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 62298)
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