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

Dr. Andrew Park, MD

Individual provider Orthopaedic Surgery Physician · NPI 1912218165

Dr. Andrew Park, MD is an Orthopedic Surgery in Longmont, Colorado. Graduated from University of Virginia School of Medicine in 2010, 16 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in Colorado and Missouri.

Years since qualifying
16
Trained at
University of Virginia School of Medicine
Licensed in
CO, MO
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1925 Mountain View Ave
Longmont, CO 80501-3128
Phone: (720) 494-3132
Fax: (720) 494-3107
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence DR.0058866 (CO)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence PENDING (MO)

Record details

NPI number1912218165
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2010
Last updated in NPPESJanuary 6, 2022

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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