Peter A Bock (NPI# 1629050166, PAC ID# 8426022468) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1629050166 |
| PAC ID by PECOS | 8426022468 |
| Professional Enrollment ID | I20050126001129 |
| Full Name | Peter A Bock |
| Organization Legal Name | OVERLAND PARK SURGICAL SPECIALTIES LLC |
| Address |
11164 S Noble Dr Olathe KS 66061-7572 |
| Phone Number | 9134696447 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9234318502 |
| Number of Group Practice Members | 127 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170137 | LAWRENCE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11164 S Noble Dr, Olathe, KS 66061-7572 | 9134696447 | OVERLAND PARK SURGICAL SPECIALTIES LLC |
| Organization Legal Name | OVERLAND PARK SURGICAL SPECIALTIES LLC |
| Physicians | 129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nida Gursel Dillon | Family Medicine | Overland Park Surgical Specialties LLC | 11725 W 112th St, Overland Park, KS 66210-2761 |
| Jeremy B Kirchoff | Family Medicine | Overland Park Surgical Specialties LLC | 12210 W 87th St Pkwy, Lenexa, KS 66215-2834 |
| Coedy S Walker | Physical Therapy | Overland Park Surgical Specialties LLC | 11164 S Noble Dr, Olathe, KS 66061-7572 |
| Jessica M Blake | Nurse Practitioner | Overland Park Surgical Specialties LLC | 15101 Glenwood Ave, Stanley, KS 66223-3154 |
| Amy M Schleper | Registered Dietitian Or Nutrition Professional | Overland Park Surgical Specialties LLC | 10100 W 119th St, Suite 150, Overland Park, KS 66213-4100 |
| Ngoc-lan Thi Nguyen | Family Medicine | Overland Park Surgical Specialties LLC | 10600 Mastin St, Overland Park, KS 66212-5723 |
| Christopher D Wright | Family Medicine | Overland Park Surgical Specialties LLC | 1803 S Ridgeview Rd, Olathe, KS 66062-2376 |
| Young J Cho | Family Medicine | Overland Park Surgical Specialties LLC | 801 N Mur Len Rd, Suite 211, Olathe, KS 66062-1794 |
| Michael A Sabolovic | Physical Therapy | Overland Park Surgical Specialties LLC | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
| Sofia M Bacon | Physical Therapy | Overland Park Surgical Specialties LLC | 10600 Mastin St, Overland Park, KS 66212-5723 |
| Street Address |
11164 S NOBLE DR |
| City | OLATHE |
| State | KS |
| Zip | 66061-7572 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Coedy S Walker | Physical Therapy | Overland Park Surgical Specialties LLC | 11164 S Noble Dr, Olathe, KS 66061-7572 |
| Erin A Nichols | Physical Therapy | Overland Park Surgical Specialties LLC | 11164 S Noble Dr, Olathe, KS 66061-7572 |
| Bradley Craemer | Family Medicine | Overland Park Surgical Specialties LLC | 11164 S Noble Dr, Olathe, KS 66061-7572 |
| Carol A Higgerson | Physical Therapy | Overland Park Surgical Specialties LLC | 11164 S Noble Dr, Olathe, KS 66061-7572 |
| Amanda Morris | Nurse Practitioner | Overland Park Surgical Specialties LLC | 11164 S Noble Dr, Olathe, KS 66061-7572 |
| Hilary S Nash | Family Medicine | Overland Park Surgical Specialties LLC | 11164 S Noble Dr, Olathe, KS 66061-7572 |
| Brooke Katterhenry | Physical Therapy | Overland Park Surgical Specialties LLC | 11164 S Noble Dr, Olathe, KS 66061-7572 |
| Abby E Bodenhausen | Physical Therapy | Overland Park Surgical Specialties LLC | 11164 S Noble Dr, Olathe, KS 66061-7572 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Fall | Psychologist, Clinical | Bph LLC | 11857 S Sunset Dr, Evergreen Community, Olathe, KS 66061-2794 |
| Michael J Mowery | Physical Therapy | 17800 W 106th St, Suite A, Olathe, KS 66061-2882 | |
| Devin Scott Morton | Chiropractic | 784 N Ridgeview Rd, Olathe, KS 66061-2900 | |
| Melissa Lee Hahn Price | Optometry | 792 N Ridgeview Rd, Olathe, KS 66061-2900 | |
| Catherina A Kelly | Clinical Social Worker | Johnson County Mental Health Center | 1125 W Spruce St, Olathe, KS 66061-3123 |
| Marsha A. Faubion | Nurse Practitioner | Johnson County Mental Health Center | 1125 W Spruce St, Olathe, KS 66061-3123 |
| Shiney Zcharia | Nurse Practitioner | Johnson County Mental Health Center | 1125 W Spruce St, Olathe, KS 66061-3123 |
| Samantha Cervetti | Clinical Social Worker | Johnson County Mental Health Center | 1125 W Spruce St, Olathe, KS 66061-3123 |
| Bethany L Allgeyer | Nurse Practitioner | Johnson County Mental Health Center | 1125 W Spruce St, Olathe, KS 66061-3123 |
| Ahmed Mohammed Maher | Psychiatry | Johnson County Mental Health Center | 1125 W Spruce St, Olathe, KS 66061-3123 |
| Find all physicians in zip 66061 | |||
| City | OLATHE |
| Zip Code | 66061 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | OLATHE + FAMILY PRACTICE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.