Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John S Park, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1083690200

John S Park, MD is a Colorectal Surgery (Proctology) in Allentown, Pennsylvania. Qualified in 1995, 31 years ago. Practices with Colon Rectal Surgery Associates PC, a 5-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
31
Licensed in
PA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1255 S Cedar Crest Blvd Ste 3900
Allentown, PA 18103-6256
Phone: (610) 402-1095
Fax: (610) 435-5003
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence MD071167L (PA)

Record details

NPI number1083690200
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 20, 2005
Last updated in NPPESMarch 18, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Colon Rectal Surgery Associates Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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