COLLEGE PARK FAMILY CARE CENTER PA (NPI# 1740248772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740248772 |
| Entity Type | Organization |
| Organization Name | COLLEGE PARK FAMILY CARE CENTER PA |
| Practice Address |
11755 W 112th St Suite 101 Overland Park KS 66210-2761 |
| Practice Telephone | 9134690503 |
| Practice Fax Number | 9133381311 |
| Mailing Telephone | 9134690503 |
| Mailing Fax Number | 9133381311 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2010-03-26 |
| Authorized Official Name | CHUCK O. CHAMBERS (ADMINISTRATOR) |
| Authorized Official Telephone | 9134690503 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
11755 W 112TH ST SUITE 101 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66210-2761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093794711 | Brent Mayginnes | Dentist | 11755 W 112th St, Suite 200, Overland Park, KS 66210-2761 | 2006-01-11 |
| 1760798540 | Overland Park Surgical Specialties LLC | Family Medicine | 11755 W 112th St, Suite 202, Overland Park, KS 66210-2742 | 2010-08-31 |
| 1881803229 | College Park Family Care Center, P.a. | Clinic/Center | 11755 W 112th St, Ste. 101, Overland Park, KS 66210-2761 | 2007-05-22 |
| 1639272214 | Kenneth Nelkin Dds Pa | Dentist | 11755 W 112th St, St 200, Overland Park, KS 66210 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1417591165 | Refractive Cataract Center, LLC | Clinic/Center | 8300 College Boulevard, Suite 201, Overland Park, KS 66210 | 2019-11-05 |
| 1336705730 | Above & Beyond In-home Kansas, LLC | In Home Supportive Care | 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 | 2019-05-13 |
| 1528531720 | Sarah J Sievers | Acupuncturist | 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 | 2019-01-10 |
| 1790286326 | Sarah E Hamilton | Physician Assistant | 8490 College Boulevard, Overland, KS 66210 | 2018-02-28 |
| 1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
| 1639610603 | Kayla Jolene Lawrance | Advanced Practice Midwife | 9202 W. 110th St., Building 36, Overland Park, KS 66210 | 2017-03-10 |
| 1972041952 | Ccrc of Cedar Rapids, LLC | Skilled Nursing Facility | 11827 W 112th St, Suite 103, Overland Park, KS 66210 | 2017-02-09 |
| 1396122008 | Laurie Jean Sansom | Counselor | 8575 W. 110th, Ste. 218, Overland Park, KS 66210 | 2015-05-01 |
| 1790181063 | Susan J. Anderson, Psy.d., Pa | Psychologist | 8500 W. 100th Street, 540, Overland Park, KS 66210 | 2014-11-13 |
| Find all providers in zip 66210 | ||||
| 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 | 66210 |
Please comment or provide details below to improve the information on COLLEGE PARK FAMILY CARE CENTER PA.
| 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.