OVERLAND PARK SURGICAL SPECIALTIES, LLC (NPI# 1609031012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609031012 |
| Entity Type | Organization |
| Organization Name | OVERLAND PARK SURGICAL SPECIALTIES, LLC |
| Other Organization Name | COLLEGE PARK FAMILY CARE CENTER PHYSICIANS GROUP |
| Practice Address |
10600 Mastin St Overland Park KS 66212-5723 |
| Mailing Address |
Po Box 741331 Atlanta GA 30374-1331 |
| Practice Telephone | 9134696447 |
| 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 |
| 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 |
| 1518122910 | Overland Park Surgical Specialties, LLC | Family Medicine | 10100 W 119th St, Ste 150, Overland Park, KS 66213-1604 | 2008-07-24 |
| Street Address |
10600 MASTIN ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66212-5723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657409 | Robert L Pierron | Orthopaedic Surgery | 10600 Mastin St, Overland Park, KS 66212-5723 | 2005-05-23 |
| 1821601931 | Katelyn Gibbons | Physical Therapist | 10600 Mastin St, Overland Park, KS 66212-5723 | 2020-08-28 |
| 1043850720 | Andrew Cozart | Physical Therapist | 10600 Mastin St, Overland Park, KS 66212-5723 | 2020-01-10 |
| 1659916963 | Olyvia Faith Engelhardt | Physical Therapy Assistant | 10600 Mastin St, Overland Park, KS 66212-5723 | 2019-11-11 |
| 1902440035 | Shane Marcus Wilson | Physical Therapy Assistant | 10600 Mastin St, Overland Park, KS 66212-5723 | 2019-11-01 |
| 1760026769 | Adrianna H Jensen | Physical Therapy Assistant | 10600 Mastin St, Overland Park, KS 66212-5723 | 2019-11-01 |
| 1497399406 | Elizabeth Anne Ashley | Physical Therapy Assistant | 10600 Mastin St, Overland Park, KS 66212-5723 | 2019-11-01 |
| 1437709615 | Lscm, LLC | Physical Therapist | 10600 Mastin St, Entrance B Attn: Shelley Lewis, Overland Park, KS 66212-5723 | 2019-09-19 |
| 1982266714 | Jacob C Crist | Physical Therapist | 10600 Mastin St, Overland Park, KS 66212-5723 | 2019-07-02 |
| 1669948618 | Brooke Katterhenry | Physical Therapist | 10600 Mastin St, Overland Park, KS 66212-5723 | 2018-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363137 | Marva Calder | Nurse Practitioner | 7299 W 98th Terrance Bld 6, Suite 120, Overland Park, KS 66212 | 2020-10-15 |
| 1518572163 | Pathways To Empowerment | Marriage & Family Therapist | 7180 W. 107th Street, St. 21, Overland Park, KS 66212 | 2020-09-10 |
| 1689287914 | Lisa Marie Ambrosek | Behavioral Analyst | 7725 W 87th Street, Overland Park, KS 66212 | 2020-08-26 |
| 1598221061 | Ginger Marie Anderson | Massage Therapist | 9200 Glewood Street Suite 101, Overland Park, KS 66212 | 2019-02-20 |
| 1508335092 | Samantha Nicole Stevens | Behavior Technician | 7725 W. 87th Street, Overland Park, KS 66212 | 2018-11-14 |
| 1831600360 | Kristin Nichols | Occupational Therapist | 8826 Sante Fe Dr, Suite 203, Overland Park, KS 66212 | 2017-10-24 |
| 1538529003 | Cindy Sykes | Social Worker | 8402 Lowell Ave, Overland Park, KS 66212 | 2016-02-26 |
| 1265804157 | Lauren Spears | Psychologist | 10100 W 87th St Ste 306, Overland Park, KS 66212 | 2015-10-30 |
| 1699158279 | Harbor Hospice of Kansas Lp | Hospice Care, Community Based | 7223 W 95th St Ste 230, Overland Park, KS 66212 | 2015-07-01 |
| 1982000303 | Doolittle & Harrington Healthcare LLC | Clinic/Center | 10560 Barkley St Ste 340, Overland Park, KS 66212 | 2014-11-12 |
| Find all providers in zip 66212 | ||||
| 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 | 66212 |
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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.