ANDREW JOON PARK (NPI# 1043661770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043661770 |
| Entity Type | Individual |
| Full Name | ANDREW JOON PARK |
| Credential | M.D. |
| Practice Address |
12631 E 17th Ave # Msf493 Aurora CO 80045-2527 |
| Practice Telephone | (303) 724-7408 |
| Practice Fax Number | 3037240863 |
| Mailing Telephone | (303) 724-7408 |
| Mailing Fax Number | 3037240863 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2017-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | TL.0006653 | CO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376167643 | Andrew J Park | Student in an Organized Health Care Education/Training Program | 26845 Barton Rd, Loma Linda, CA 92373-4309 | 2020-06-02 |
| 1598722654 | Andrew Eunkoo Park | Orthopaedic Surgery | 17051 Dallas Pkwy, Suite 400, Addison, TX 75001-7109 | 2006-05-01 |
| 1093331373 | Andrew Park | Anesthesiology | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2020-06-22 |
| 1871121012 | Andrew Ji Hoon Park | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, 1 Deaconess Rd, Boston, MA 02215 | 2020-04-01 |
| 1922664135 | Andrew Park | Pharmacist | 1558 Trancas St, Napa, CA 94558-2916 | 2019-05-13 |
| 1033678305 | Andrew Park | Student in an Organized Health Care Education/Training Program | 275 W Macarthur Blvd, Oakland, CA 94611-5641 | 2019-03-17 |
| 1982137519 | Andrew Chunkil Park | Psychiatry & Neurology | 101 The City Dr S, Orange, CA 92868-3201 | 2017-04-10 |
| 1730610718 | Andrew John Park | Student in an Organized Health Care Education/Training Program | 550 S Jackson St, Louisville, KY 40202-1622 | 2017-03-22 |
| 1437691870 | Andrew Park | Physical Therapist | 34617 11th Pl S Ste 201, Federal Way, WA 98003-8706 | 2016-11-16 |
| 1124489836 | Andrew Park | Marriage & Family Therapist | 1910 N Bush St, Santa Ana, CA 92706-2816 | 2016-03-09 |
| Street Address |
12631 E 17TH AVE # MSF493 |
| City | AURORA |
| State | CO |
| Zip Code | 80045-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073008991 | Ryan James Rarig Hagens | Internal Medicine | 12631 E 17th Ave # Msf493, Aurora, CO 80045 | 2018-06-22 |
| 1285162099 | Jacob Brayton Jeffers | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave # Msf493, Aurora, CO 80045-2527 | 2017-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699192112 | Tanice Kitchener | Physical Medicine & Rehabilitation | 19482 E Iowa Cir, Aurora, CO 80017-4611 | 2014-03-21 |
| 1346539517 | William N Niehaus | Physical Medicine & Rehabilitation | 12631 E. 17th Ave., Academic Office One, Mail Stop F493 C/o Mallory Pridy, Aurora, CO 80045 | 2011-03-28 |
| 1043400450 | Raymond C Jones | Physical Medicine & Rehabilitation | 12631 E 17th Ave., Ao1, Rm.2513, Dept. of Pm&r, Aurora, CO 80045-7238 | 2007-08-01 |
| 1306877311 | Sun and Moon Clinic Inc | Physical Medicine & Rehabilitation | 11175 E Mississippi Ave Ste 232, Aurora, CO 80012-3137 | 2006-07-06 |
| 1174182562 | Derek C Stokes | Physical Medicine & Rehabilitation | 12631 E 17th Ave Ofc 1, Aurora, CO 80045-2527 | 2019-06-10 |
| 1538616693 | Rush-copley Orthopedics, LLC | Physical Medicine & Rehabilitation | 2111 Ogden Ave, Aurora, IL 60504-7597 | 2016-09-07 |
| 1528453503 | Brett Howard Lile | Physical Medicine & Rehabilitation | 900 Potomac St, Aurora, CO 80011-6716 | 2015-04-06 |
| 1265827737 | Dustin Anderson | Physical Medicine & Rehabilitation | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2015-04-01 |
| 1134511587 | Advanced Rehabilitation Medicine LLC | Physical Medicine & Rehabilitation | 1390 S Potomac St, Suite 128, Aurora, CO 80012-6165 | 2015-02-23 |
| 1043618010 | J Medical Inc | Physical Medicine & Rehabilitation | 12510 E Iliff Ave, Suite 210, Aurora, CO 80014-6377 | 2014-12-08 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.