OVERLAND PARK SURGICAL SPECIALTIES, LLC (NPI# 1518122910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518122910 |
| Entity Type | Organization |
| Organization Name | OVERLAND PARK SURGICAL SPECIALTIES, LLC |
| Other Organization Name | COLLEGE PARK FAMILY CARE CENTER PHYSICIANS GROUP |
| Practice Address |
10100 W 119th St Ste 150 Overland Park KS 66213-1604 |
| Mailing Address |
Po Box 741331 Atlanta GA 30374-1331 |
| Practice Telephone | 9137540061 |
| Mailing Telephone | 9134281500 |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2016-12-07 |
| Authorized Official Name | CHUCK CHAMBERS (ADMINISTRATOR) |
| Authorized Official Telephone | 9134690503 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| College Park Family Care Center Physicians Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295991347 | Overland Park Surgical Specialties, LLC | Family Medicine | 12210 W 87th St, Lenexa, KS 66215-2812 | 2008-07-29 |
| 1922264076 | Overland Park Surgical Specialties, LLC | Family Medicine | 801 N Mur Len Rd, Ste. 211, Olathe, KS 66062-1794 | 2008-07-29 |
| 1730345885 | Overland Park Surgical Specialties, LLC | Family Medicine | 11725 W 112th St, Overland Park, KS 66210-2761 | 2008-07-29 |
| 1609031012 | Overland Park Surgical Specialties, LLC | Family Medicine | 10600 Mastin St, Overland Park, KS 66212-5723 | 2008-07-24 |
| 1902061302 | Overland Park Surgical Specialties, LLC | Family Medicine | 1803 S Ridgeview Rd, Olathe, KS 66062-2376 | 2008-07-24 |
| 1366607764 | Overland Park Surgical Specialties, LLC | Family Medicine | 11164 S Noble Dr, Olathe, KS 66061-7528 | 2008-07-24 |
| 1437314838 | Overland Park Surgical Specialties, LLC | Family Medicine | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2008-07-24 |
| Street Address |
10100 W 119TH ST STE 150 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66213-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710974100 | Calvin E Beck | Family Medicine | 10100 W 119th St, Suite 150, Overland Park, KS 66213-1604 | 2005-09-30 |
| 1497956650 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 10100 W 119th St, Suite 150, Overland Park, KS 66213-1604 | 2007-05-29 |
| 1215071477 | Lab One Inc | Clinical Medical Laboratory | 10100 W 119th St, Overland Park, KS 66213-1604 | 2007-02-19 |
| 1548344039 | Ashley Kimmel | Family Medicine | 10100 W 119th St, Ste 150, Overland Park, KS 66213-1604 | 2006-10-24 |
| 1013984129 | Warren Retina Associates, Pa | Ophthalmology | 10100 W 119th St, Suite 260, Overland Park, KS 66213-1604 | 2006-03-07 |
| 1790757631 | Keith Adrian Warren | Ophthalmology | 10100 W 119th St, Suite 260, Overland Park, KS 66213-1604 | 2006-02-04 |
| 1801884473 | Deborah S Sawyer | Physical Therapy Assistant | 10100 W 119th St, Suite 200, Overland Park, KS 66213-1604 | 2005-10-07 |
| 1528056199 | Darrel D Mills | Physical Therapy Assistant | 10100 W 119th St, Suite 200, Overland Park, KS 66213-1604 | 2005-10-07 |
| 1245228816 | Carla Luffman | Physical Therapy Assistant | 10100 W 119th St, Suite 150, Overland Park, KS 66213-1604 | 2005-10-07 |
| 1316934631 | Joseph J Vogelsberg | Physical Therapist | 10100 W 119th St, Suite 200, Overland Park, KS 66213-1604 | 2005-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
| 1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
| 1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
| 1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in zip 66213 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357166 | Spira Care, LLC | Family Medicine | 7341 W 133rd St, Overland Park, KS 66213-4750 | 2020-08-21 |
| 1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
| 1831623131 | Katherine Rose Mcdaniel | Family Medicine | 7381 W 133rd St Ste 100, Overland Park, KS 66213-4770 | 2017-04-13 |
| 1346627049 | Caroline Lucille Martin | Family Medicine | 11725 W 112th St # 101, Overland Park, KS 66210-2761 | 2015-05-01 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1508278367 | Elizabeth Brett Daily | Family Medicine | 4401 W 109th St Ste 200, Overland Park, KS 66211-1303 | 2014-05-28 |
| 1831538941 | Steven M. Wien | Family Medicine | 9314 W 82nd St, Overland Park, KS 66204-3218 | 2013-06-21 |
| 1043552474 | Alan Mark Oliver | Family Medicine | 13849 Hadley St, Overland Park, KS 66223-1320 | 2013-03-24 |
| 1225384001 | Lloyd Bernard Bledsoe | Family Medicine | 10150 Antioch Rd, Overland Park, KS 66212-4285 | 2012-07-30 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66213 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.