Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN MOONKEUN PARK, MD
ActiveDR. JOHN MOONKEUN PARK, MD is a Vascular Surgery healthcare provider located in OMAHA, Nebraska. NPI 1023394665 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · OMAHA, NE
Registration Details
- NPI Number
- 1023394665
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2011 (14.789870447805 yrs)
- Last Updated
- Sep 23, 2025
- Licenses
-
35.095909 (OH)35.095909 (OH)26509 (NE)40563 (IA)
Practice Information
- Address
-
17404 BURKE ST STE 102OMAHA, NE, 681182242Browse NE providers · Browse ZIP 68118
- Phone
- 5314664260
- Primary Specialty
-
Vascular Surgery
2086S0129X
- Additional Specialty
- General Surgery
- Additional Specialty
- Vascular Surgery
- Additional Specialty
- Vascular Surgery
Other Vascular Surgery Providers in OMAHA, NE
| Name | Credential | NPI |
|---|---|---|
| SCOTT P. WATTENHOFER | M.D. | 1215911813 |
| BERNARD TIMOTHY BAXTER | M.D. | 1609850213 |
| EUGENE A. WALTKE | M.D. | 1972588119 |
| DR. THOMAS CLEMENT HOWARD | MD | 1255305744 |
| JASON M JOHANNING | MD | 1215985791 |
| GERNON M LONGO | MD | 1376593707 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.