Woosup Michael Park, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

35561 Issued in IA

Practice address

5880 University Ave
West Des Moines, IA 50266-8220

Phone

(515) 633-3600

Fax

(515) 288-0840

NPI assigned

Nov 16, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Vascular SurgeryAlso: General Surgery

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Health Hospital, Concord, OH, CCN 360098
• Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
• University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359
• Uh St John Medical Center Hospital, Westlake, OH, CCN 360123
• Uh Regional Hospitals Hospital, Chardon, OH, CCN 360075

Merit-based Incentive Payment System (MIPS)

Final score

91.15 of 100Reported as apm

Quality

82.31

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wpark36261@ehrdirect.uhhospitals.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University Primary Care Practices Inc

  • Gastroenterology Physician
  • Mentor, OH
  • NPI 1003935339
  Medicare reassignment Care Compare group NPD
• University Primary Care Practices Inc

  • Orthopaedic Surgery Physician
  • Sheffield Village, OH
  • NPI 1114054384
  NPD
• University Primary Care Practices Inc

  • Orthopaedic Surgery Physician
  • Oberlin, OH
  • NPI 1982727087
  NPD
• Catholic Health Initiatives-Iowa Corp

  • Clinical Cardiac Electrophysiology Physician
  • West Des Moines, IA
  • NPI 1629301684

  Vascular Surgery

  NPD (past)
• Iowa Heart Center PC

  • Cardiovascular Disease Physician
  • West Des Moines, IA
  • NPI 1164410932

  Vascular Surgery

  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• University Primary Care Practices

  • Pediatrics Physician
  • Twinsburg, OH
  • NPI 1326166752
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lake Hospital System Inc

  • General Acute Care Hospital
  • Willoughby, OH
  • NPI 1972689172
  Care Compare affiliation
• Uh Regional Hospitals

  • General Acute Care Hospital
  • Chardon, OH
  • NPI 1669562864
  Care Compare affiliation
• University Hospitals Ahuja Medical Center, Inc

  • General Acute Care Hospital
  • Beachwood, OH
  • NPI 1609189604
  Care Compare affiliation
• University Hospitals Cleveland Medical Center

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1043397292
  Care Compare affiliation
• University Hospitals Cleveland Medical Center

  • Multi-Specialty Clinic/Center
  • Mentor, OH
  • NPI 1487770335

  Hospital

  Care Compare affiliation
• University Hospitals Cleveland Medical Center

  • Multi-Specialty Clinic/Center
  • Westlake, OH
  • NPI 1669598082

  Hospital

  Care Compare affiliation
• University Hospitals of Cleveland

  • Clinic/Center
  • Cleveland, OH
  • NPI 1760673412

  Hospital

  Care Compare affiliation
• University Hospitals St. John Medical Center

  • General Acute Care Hospital
  • Westlake, OH
  • NPI 1841264868
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1043292998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 UNIVERSITY AVE",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668220",
            "telephone_number": "515-633-3835",
            "fax_number": "515-633-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 UNIVERSITY AVE",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668220",
            "telephone_number": "515-633-3600",
            "fax_number": "515-288-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "WOOSUP",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IA",
            "license": "35561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0432393",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "CD4547",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00110411",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Palmer
• Emily Alice Palmer, PA-C
• Laura Sue Palmer, PT, DPT
• Amy J. Ugulini Pals, LMHC
• Megan Jo Panos, ARNP
• Amy Lynne Parker Reid, LMSW
• Arielle Anne Parker, DNP, FNP-C
• Erin Marie Parker, LMSW
• Kristy Parker
• Margaret Ellen Parker, O.T.

• Vascular Surgery Physician in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Vascular Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.