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DR. ANDREW JOON PARK M.D. NPI 1043661770


NPI Information

NPI: 1043661770
Provider Name: DR. ANDREW JOON PARK, M.D.
Classification: Physical Medicine & Rehabilitation - 2081P0004X
Entity Type: Individual

Specialization: Spinal Cord Injury Medicine

PECOS Registration: Yes

Address:
3425 S CLARKSON ST
ENGLEWOOD, CO
ZIP 80113
Phone: (303) 789-8220
Get Directions

DR. Andrew Joon Park, M.D. is a spinal cord injury medicine physical medicine rehabilitation in Englewood, CO with 8 years of experience. The provider is a physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. DR. Andrew Joon Park, M.D. NPI is 1043661770. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:2016

The provider's business location address is:

3425 S CLARKSON ST
ENGLEWOOD, CO
ZIP 80113-811
Phone: (303) 789-8220

The NPI 1043661770 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/23/2016 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208100000XPhysical Medicine & RehabilitationDR.0059534COLORADONo
2208100000XPhysical Medicine & RehabilitationTL.0006653COLORADONo
32081P0004XPhysical Medicine & RehabilitationSpinal Cord Injury MedicineDR.0059534COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11043661770MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.