COLLEGIATE MEDICAL LLC (NPI# 1184060568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184060568 |
| Entity Type | Organization |
| Organization Name | COLLEGIATE MEDICAL LLC |
| Practice Address |
6721 W 128th Pl 104 Overland Park KS 66209-3842 |
| Mailing Address |
Po Box 9238 Shawnee Mission KS 66201-1838 |
| Practice Telephone | 9132690330 |
| Practice Fax Number | 9132731070 |
| Mailing Telephone | 9132690330 |
| Mailing Fax Number | 9132731070 |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |
| Authorized Official Name | WARREN PETERSON (PRESIDENT) |
| Authorized Official Telephone | 9132690330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
6721 W 128TH PL 104 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66209-3842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
| 1740781871 | Courtney Collins | Physical Therapy Assistant | 6830 W. 121st. Ct, Overland Park, KS 66209 | 2018-02-23 |
| 1295246015 | Meredith Meyer Bell | Nurse Practitioner | 5064 W 130th Terrace, Leawood, KS 66209 | 2017-10-19 |
| 1740712223 | Margaret Alice Luckert | Registered Nurse | 5701 W 119th Street Suite 220, Overland Park, KS 66209 | 2017-04-03 |
| 1609311133 | Kansas City Community Hospital, LLC | General Acute Care Hospital | 13200 State Line Road, Leawood, KS 66209 | 2016-12-19 |
| 1316492499 | Christy Vopat | Occupational Therapist | 4952 W. 129 Th Terr, Leawood, KS 66209 | 2016-08-18 |
| 1861846594 | Paige Aberasturi Penick | Nutritionist | 6709 W 119th St # 207, Overland Park, KS 66209 | 2016-04-19 |
| 1568827905 | Eating Disorder Treatment Associates, LLC | Clinic/Center | 12140 Nall Avenue, Suite 315, Overland Park, KS 66209 | 2015-12-30 |
| 1689056483 | Michael Hauber | Physical Therapist | 12728 State Line Rd, Leawood, KS 66209 | 2015-06-29 |
| 1033597000 | Brooke J Heppner Mft | Marriage & Family Therapist | 6711 W. 121st Street, Suite 101, Overland Park, KS 66209 | 2015-05-11 |
| Find all providers in zip 66209 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100055 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 6720 W 121st St Ste 105, Overland Park, KS 66209-2002 | 2020-10-02 |
| 1164045126 | Mid-america Orthopedics Kc LLC | Durable Medical Equipment & Medical Supplies | 7820 W 165th St, Overland Park, KS 66223-2925 | 2020-05-26 |
| 1780148296 | Second Nature LLC | Durable Medical Equipment & Medical Supplies | 7377 W 97th St, Overland Park, KS 66212-2210 | 2019-01-29 |
| 1366962136 | Apex Care Solutions LLC | Durable Medical Equipment & Medical Supplies | 12917 Hadley St, Overland Park, KS 66213-2747 | 2017-06-22 |
| 1992248785 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6407 W 119th St, Overland Park, KS 66209-2734 | 2016-11-28 |
| 1730509894 | Kansas City Home Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 10400 Metcalf Ave, Overland Park, KS 66212-1806 | 2014-04-16 |
| 1548697428 | Willow Medical LLC | Durable Medical Equipment & Medical Supplies | 7329 W 97th St, Overland Park, KS 66212-2210 | 2013-10-09 |
| 1184903445 | Apria Healthcare | Durable Medical Equipment & Medical Supplies | 6050 Sprint Pkwy, Overland Park, KS 66211-1101 | 2011-08-04 |
| 1417273707 | Trusted Life Care, Inc. | Durable Medical Equipment & Medical Supplies | 12850 Metcalf Ave Ste 212, Overland Park, KS 66213-2622 | 2010-04-13 |
| 1235467739 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9500 Antioch Rd, Overland Park, KS 66212-4058 | 2009-11-23 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66209 |
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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.