Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Park

Individual provider Physician Assistant · NPI 1184292419

Andrew Park is a Physician Assistant in Grand Junction, Colorado. Qualified in 2021, 5 years ago. Practices with Community Medical Group LLC, a 108-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
5
Licensed in
CO
In the registry since
2021
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Practice location Address checks out

2373 G Rd Ste 270
Grand Junction, CO 81505-1006
Phone: (970) 644-3800
Fax: (970) 644-3946
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 160 Heritage Way, Kalispell, MT 59901-3161 — (406) 752-8330

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0008210 (CO)

Record details

NPI number1184292419
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 14, 2021
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023
Mailing address606 Chipeta Ave Apt 2, Grand Junction, CO 81501-2748

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Community Medical Group Llc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Grand Junction