| Tms Store | |
|
10099 Ridgegate Pkwy Ste 420 Lone Tree CO 80124-5536 | |
| (303) 800-6463 | |
| (303) 500-6585 |
| Full Name | Tms Store |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10099 Ridgegate Pkwy Ste 420, Lone Tree, Colorado |
| Authorized Official Name and Position | Hy Gia Park (MANAGING PARTNER) |
| Authorized Official Contact | 7202098537 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tms Store 10099 Ridgegate Pkwy Ste 420 Lone Tree CO 80124-5536 Ph: (303) 800-6463 | Tms Store 10099 Ridgegate Pkwy Ste 420 Lone Tree CO 80124-5536 Ph: (303) 800-6463 |
| NPI Number | 1447956115 |
|---|---|
| Provider Enumeration Date | 02/03/2023 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Medicare PECOS PAC ID | 0749622520 |
|---|---|
| Medicare Enrollment ID | O20240524000547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447956115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Charles K Park |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235214131 PECOS PAC ID: 2769585413 Enrollment ID: I20100609000647 |
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