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

Individual provider Certified Registered Nurse Anesthetist · NPI 1619929965

Woo Park, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Elkhart, Indiana. Qualified in 1999, 27 years ago. Practices with Clinical Colleagues Inc, a 173-clinician group. Licensed in Indiana.

Years since qualifying
27
Licensed in
IN
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

500 N Nappanee St Ste 11B
Elkhart, IN 46514-1503
Phone: (574) 522-9922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 28159121 (IN)

Record details

NPI number1619929965
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESJuly 13, 2026
Mailing address541 Otis Bowen Dr, Munster, IN 46321-4158

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Clinical Colleagues Inc — 173 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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