NPI age
4 years
Enumerated 2021-10-23
● Active
Type 1 · Individual
Charlie Joon Park, CRNA
Park is 1 of 361 nurse anesthetist, certified registered providers in Fort Worth and 1 of 6676 in Texas.
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-03-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 6676 active nurse anesthetist, certified registered providers in Texas.
NPI age
4 years
↓ 9 yr below median (13 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
1
In the 35% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-10Enumerated in NPPES
2021
2026
Where they practice
Practice location
801 7th Ave
Fort Worth, TX 761042733
Mailing address
Po Box 733784
Dallas, TX 753733784
Specialties
-
Nurse Anesthetist, Certified Registered Primary(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Part of a multi-provider practice. 521 other active providers share this practice address in NPPES.
Recently enumerated nearby: 9 new nurse anesthetist, certified registered providers have been added in Fort Worth in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.