Individual provider

Sea Mi Park, M.D. ,PH.D.

Vascular Neurology Physician Neurology Physician Medicare enrolled

Sea Mi Park, M.D. ,PH.D. is a Vascular Neurology Physician in Olympia, WA, registered under NPI 1215295563. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 525 LILLY RD NE STE 210, Olympia, WA 98506. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

525 LILLY RD NE STE 210, Olympia, WA 98506 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MD61640992 WA Vascular Neurology Physician primary
MD61640992 WA Neurology Physician

This provider holds licence MD61640992 issued in WA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Neurosurgery
PAC ID
8527332493

Enrolled in Medicare 4 times, across 4 states:

StateEnrollment IDProvider type
New Jersey I20180730002724 Practitioner - Neurosurgery
California I20220307001553 Practitioner - Neurology
New York I20240416003268 Practitioner - Neurology
Washington I20250313004015 Practitioner - Neurology

Medicare enrolment is recorded as approved under the provider type Practitioner - Neurosurgery. There are 4 separate enrolment records across 4 states (NJ, CA, NY, WA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Vascular Neurology covers

Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. NUCC Health Care Provider Taxonomy, code 2084V0102X
Allopathic & Osteopathic Physicians Psychiatry & Neurology Vascular Neurology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2084V0102X Vascular Neurology Physician Vascular Neurology MD61640992 WA primary
2084N0400X Neurology Physician Neurology MD61640992 WA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1215295563 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 24, 2012
Last updatedMay 8, 2025
StatusActive
Sole proprietorNo
CredentialM.D. ,PH.D.
Practice address 525 LILLY RD NE STE 210
Olympia, WA 98506
(360) 413-8550
Fax (360) 413-8827
This record was updated on May 8, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1215295563 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 1 5 2 9 5 5 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 2 5 4 9 1 5 3

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1215295563?
NPI 1215295563 is the National Provider Identifier assigned to Sea Mi Park, M.D. ,PH.D. in Olympia, WA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Vascular Neurology cover?
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as…
How do I contact Sea Mi Park, M.D. ,PH.D.?
The phone number on file with NPPES is (360) 413-8550, last updated May 8, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Sea Mi Park, M.D. ,PH.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1215295563 a valid number?
Yes. 1215295563 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.