Doctor profile · Federal record
Dr. Susan Park, P.N.P.
Pediatric Nurse Practitioner · Pediatric Nurse Practitioner · Pediatric Nurse Practitioner · Phoenix, AZ
- NPI 1548461221
- 19 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1919 E Thomas RD
Phoenix, AZ 850167710
(602) 933-3366
fax (602) 933-4166 - Mailing address
-
3200 E Camelback RD Ste 250
Phoenix, AZ 850182327
Credentials & registration
- NPI registered
- May 2007 — 19 yrs on file
- Profile last updated
- January 24, 2018
- Specialty taxonomy
- 363LP0200X — NUCC code
- State licenses (3)
- Arizona #AP3469 · New York #583996 · Arizona #RN159828/AP3469
- Medicaid
- AZ #471651
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1548461221. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$20
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbott Laboratories | 1 | $19.63 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
13
Patients
0
Total drug cost
$58,480
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Stribild (Elviteg/Cob/Emtri/Tenofo Disop) | Brand | 13 | 0 | $58,480 |
Frequently asked questions
What is Dr. Susan Park's medical specialty?
Dr. Susan Park practices Pediatric Nurse Practitioner in Phoenix, AZ.
Where does Dr. Susan Park practice?
Dr. Susan Park practices at 1919 E Thomas RD, Phoenix, AZ 850167710. Office phone: 6029333366.
What is Dr. Susan Park's NPI?
Dr. Susan Park's National Provider Identifier (NPI) is 1548461221, issued by NPPES.