Active NPI
Andrew Park, D.O., M.P.H.
- Emergency Medicine Physician
- Burlington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OP60948379
- Practice address
- 111 Colchester Ave
Burlington, VT 05401-1473 - Phone
- (802) 847-0000
- NPI assigned
- Jun 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 032-0134126 | VT | |
| Emergency Medicine Physician | 207P00000X | OP60948379 | WA | Primary |
| Emergency Medicine Physician | 207P00000X | 00243361 | NY | |
| Emergency Medicine Physician | 207P00000X | 322420 | NY |
Addresses
Primary practice location
111 Colchester Ave
Burlington, VT 05401-1473
Mailing address
333 E 43Rd St Apt 220
New York, NY 10017-4814
Phone (646) 509-3362
Other practice location 1
75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 562-7408
Other practice location 2
183rd street and 3rd avenue
bronx, NY 10457
Phone (718) 960-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, WA, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1011 14TH Ave NW
Ardmore, OK 73401-1828
Phone (580) 220-6132
1211 24TH St
Anacortes, WA 98221-2562
Phone (360) 299-1300
5300 Tallman Ave NW
Seattle, WA 98107-3932
Phone (206) 782-2700
5350 Tallman Ave NW
Seattle, WA 98107-5902
Phone (206) 782-2700
751 NE Blakely Dr
Issaquah, WA 98029-6201
Phone (425) 394-0610
Hospital & facility affiliations
- Swedish Medical Center
- Island Hospital
- Mercy Hospital Ada
- Swedish Issaquah
- Mercy Hospital Ardmore, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.91 of 100
- Quality
- 77.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9424 | OK | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| OP60948379 | WA | MD | Emergency Medicine Physician |
| 00243361 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Ballard Emergency Physicians, P.S. | Emergency Medicine | Current | Accepting new patients |
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Eastside Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Eastside Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Swedish Health Services | Current | Accepting new patients | |
| Swedish Health Services | Current | Accepting new patients | |
| Sound Physicians Emergency Medicine of Washington PLLC | Emergency Medicine | Current | Accepting new patients |
| Sound Physicians Emergency Medicine of Kansas, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Tulsa County, LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704
1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310
1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000
3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000
18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020
18100 NE Union Hill Rd
Ste 200
Redmond, WA 98052
Phone (206) 320-5190
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364
5300 Tallman Ave NW
Seattle, WA 98107
Phone (206) 781-6209
2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021
1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101
Interoperability endpoints
- apark12675@direct.kuha.org
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Seattle, WA
- NPI 1619909256
-
- Emergency Medicine Physician
- Issaquah, WA
- NPI 1689683229
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- Emergency Medicine Physician
- Arlington, WA
- NPI 1235172370
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1003098773
-
- Emergency Medicine Physician
- Manhattan, KS
- NPI 1831689934
-
- Emergency Medicine Physician
- Sedro Woolley, WA
- NPI 1629532064
-
- Family Medicine Physician
- Seattle, WA
- NPI 1831139724
-
- Emergency Medicine Physician
- Everett, WA
- NPI 1922303478
-
- Physical Therapist
- Seattle, WA
- NPI 1619680840
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ada, OK
- NPI 1952643306
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
-
- General Acute Care Hospital
- Anacortes, WA
- NPI 1710913140
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
-
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1841426319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 E 43RD ST APT 220",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100174814",
"telephone_number": "646-509-3362",
"fax_number": "484-303-7854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 COLCHESTER AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011473",
"telephone_number": "802-847-0000"
}
],
"practiceLocations": [
{
"address_1": "75 Beekman St",
"address_purpose": "LOCATION",
"city": "Plattsburgh",
"state": "NY",
"postal_code": "129011438",
"country_code": "US",
"telephone_number": "518-562-7408",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "183rd street and 3rd avenue",
"address_purpose": "LOCATION",
"city": "bronx",
"state": "NY",
"postal_code": "10457",
"country_code": "US",
"telephone_number": "718-960-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARK",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.O., M.P.H.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-10",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VT",
"license": "032-0134126",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "OP60948379",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "00243361",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "322420",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.