| Woosup Michael Park, MD | |
|
5880 University Ave, West Des Moines, IA 50266-8220 | |
| (515) 633-3600 | |
| (515) 288-0840 |
| Full Name | Woosup Michael Park |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 31 Years |
| Location | 5880 University Ave, West Des Moines, Iowa |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043292998 | NPI | - | NPPES |
| 0432393 | Medicaid | IA | |
| CD4547 | Other | IA | RAILROAD MEDICARE GROUP # |
| P00110411 | Other | IA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 35561 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Health | Concord, OH | Hospital |
| University Hospitals Of Cleveland | Cleveland, OH | Hospital |
| University Hospitals Ahuja Medical Center | Beachwood, OH | Hospital |
| Parma Community General Hospital | Parma, OH | Hospital |
| Uh St John Medical Center | Westlake, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Primary Care Practices Inc | 3072417534 | 972 |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| Mailing Address | Practice Location Address |
|---|---|
| Woosup Michael Park, MD 5880 University Ave, West Des Moines, IA 50266-8220 Ph: (515) 633-3835 | Woosup Michael Park, MD 5880 University Ave, West Des Moines, IA 50266-8220 Ph: (515) 633-3600 |
Steven I Goldstein, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1300 37th St Ste 3, West Des Moines, IA 50266 Phone: 515-220-2081 Fax: 833-985-2171 | |
Harold W Hsu, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5880 University Ave Ste 103, West Des Moines, IA 50266 Phone: 515-633-3660 Fax: 515-362-4114 | |
Dr. Nicholas Southard, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5950 University Ave, Ste 231, West Des Moines, IA 50266 Phone: 515-875-9090 Fax: 515-875-9312 | |
Dr. Praveen Chandra Prasad, MD Surgery Medicare: Medicare Enrolled Practice Location: 1000 73rd St Ste 17, West Des Moines, IA 50265 Phone: 515-223-2383 Fax: 515-225-8679 | |
Dr. Rori Mankins, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5950 University Ave Ste 231, West Des Moines, IA 50266 Phone: 515-875-9090 Fax: 515-875-9312 | |
Teresa L Lamasters, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4201 Corporate Dr Ste 100, West Des Moines, IA 50266 Phone: 515-421-9355 Fax: 515-329-6799 |