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ANDREW PARK MD
NPI 1093331373
Anesthesiology in Charleston, SC

Active since June 22, 2020PECOS EnrolledAccepts Medicare Assignment
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425(843) 792-4316 Get Directions Write a Review

NPPES record last updated: June 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew Park Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW PARK MD (NPI 1093331373) is an individual anesthesiology provider in Charleston, South Carolina, licensed in South Carolina (LL84614) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Morehouse School Of Medicine (2020).

NPPES Registry Identity

NPI1093331373
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameANDREW PARKCredential: MD
Location Address169 ASHLEY AVE RM 202Charleston, SC 29425-8905
Mailing Address169 Ashley Ave Rm 202, Msc333Charleston, SC 29425-8905
Phone(843) 792-4316
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 2020
Enumeration DateJune 22, 2020
NPPES CertifiedJune 22, 2020
✔ NPI 1093331373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in SC · LL84614
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
169 ASHLEY AVE RM 202, Charleston, SC 29425
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Park Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335567072
PECOS Enrollment IDI20240717002612
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANAA ABDELMAGEED MD
Surgery
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-4607
CARA MARIE BIRD MD
Pediatrics
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2300
KYLER PERRY DO
Surgery
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2300
SAI KIRAN GUDLA
Radiology (Diagnostic Radiology)
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2575
DR. ROBERT BOONE COLEMAN MD
Anesthesiology
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2322
ERIKA ANDRADE MD
Surgery
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 513-9773
ALEXANDRIA GATES RASCO
Internal Medicine
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 792-2731
DR. RORY DOWD MBBS, MENG
Internal Medicine (Clinical Cardiac Electrophysiology)
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425
Charleston County (843) 876-4794

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Park's NPI number?

The NPI number for Andrew Park is 1093331373. It was assigned to this individual provider in the NPPES registry on June 22, 2020.

Where is Andrew Park located?

Andrew Park practices at 169 Ashley Ave Rm 202, Charleston, SC 29425. The listed phone number is (843) 792-4316.

What is Andrew Park's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Andrew Park enrolled in Medicare?

Yes. Andrew Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Andrew Park affiliated with any hospitals?

According to CMS data, Andrew Park is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Park was last updated on June 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.