OVERLAND PARK SURGICAL SPECIALTIES, LLC (NPI# 1295991347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295991347 |
| Entity Type | Organization |
| Organization Name | OVERLAND PARK SURGICAL SPECIALTIES, LLC |
| Other Organization Name | COLLEGE PARK FAMILY CARE CENTER PHYSICIANS GROUP |
| Practice Address |
12210 W 87th St Lenexa KS 66215-2812 |
| Mailing Address |
Po Box 741331 Atlanta GA 30374-1331 |
| Practice Telephone | 9134386700 |
| Mailing Telephone | 9134281500 |
| Enumeration Date | 2008-07-29 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1518122910 | Overland Park Surgical Specialties, LLC | Family Medicine | 10100 W 119th St, Ste 150, Overland Park, KS 66213-1604 | 2008-07-24 |
| Street Address |
12210 W 87TH ST |
| City | LENEXA |
| State | KS |
| Zip Code | 66215-2812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174510549 | James D Dickie | Family Medicine | 12210 W 87th St, Lenexa, KS 66215-2812 | 2005-09-30 |
| 1396827739 | Julie A Jablonski | Physician Assistant | 12210 W 87th St, Lenexa, KS 66215-2812 | 2006-10-19 |
| 1952340747 | Michilia D. Harrington | Family Medicine | 12210 W 87th St, Lenexa, KS 66215-2812 | 2006-06-06 |
| 1992792188 | Richard Randolph IIi | Family Medicine | 12210 W 87th St, Lenexa, KS 66215-2812 | 2005-10-03 |
| 1588651947 | Joyce L Simon | Family Medicine | 12210 W 87th St, Lenexa, KS 66215-2812 | 2005-09-30 |
| 1407843865 | Gerald R Oliver | Family Medicine | 12210 W 87th St, Lenexa, KS 66215-2812 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442193 | Breanna Kay Bezona | Chiropractor | 13830 Sante Fe Trail Dr., St. 104, Lenexa, KS 66215 | 2020-06-25 |
| 1801458542 | Paula Aileen Rogers | Registered Nurse | 14831 W 95th Street, Lenexa, KS 66215 | 2019-07-02 |
| 1154988780 | Michelle Marie Magri | Counselor | 8645 Hauser Court, Lenexa, KS 66215 | 2019-05-20 |
| 1891267100 | Beulah Mathew | Physical Therapist | Lakeview Village, 9100 Park St., Lenexa, KS 66215 | 2018-12-27 |
| 1609350123 | Courtney Smith | Behavior Technician | 9340 Gillette St., Lenexa, KS 66215 | 2018-09-20 |
| 1588182398 | Tlc Medical Transport LLC | Non-emergency Medical Transport (VAN) | 14425 College Blvd, Suite 111, Lenexa, KS 66215 | 2017-08-31 |
| 1376991091 | Abbie Elizabeth Martin | Nurse Practitioner | 1220 W. 106th Street, Suite 230, Overland Park, KS 66215 | 2016-06-03 |
| 1093199051 | Janita-jade Coffey | Nurse Practitioner | 10600 Quivira Rd Ste 320, Overland Park, KS 66215 | 2015-07-18 |
| 1518349109 | Timothy James Kamerzell | Internal Medicine | 10601 Quivira Rd Ste 200, Overland Park, KS 66215 | 2015-06-19 |
| 1245633916 | Maria Kintu | Licensed Practical Nurse | 12316 W 79th Terr, Lenexa, KS 66215 | 2014-10-08 |
| Find all providers in zip 66215 | ||||
| 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 |
|---|---|---|---|---|
| 1164052973 | Theory Health Kansas LLC | Family Medicine | 10000 Marshall Dr, Lenexa, KS 66215-1244 | 2020-01-21 |
| 1427412485 | Brooke Varnum | Family Medicine | 8700 Bourgade St Ste 2, Lenexa, KS 66219-1440 | 2016-04-06 |
| 1487998985 | Bassam Khulusi | Family Medicine | 11142 Thompson Ave, Lenexa, KS 66219-2301 | 2012-11-21 |
| 1871771469 | Stephanie Angela Crane | Family Medicine | 9300 Meadowview Dr., Lenexa, KS 66109-7288 | 2008-02-06 |
| 1174720148 | Erin Christine-noel Griffeth | Family Medicine | 20607 W 88th St, Lenexa, KS 66220-3367 | 2007-07-02 |
| 1124146337 | Lill Family Medicine Center, Inc | Family Medicine | 15325 W 95th St, Lenexa, KS 66219-1262 | 2007-03-26 |
| 1104919505 | Angelique' C Pritchett | Family Medicine | 12210 W 87th Street Pkwy, Suite 135, Lenexa, KS 66215-2812 | 2006-09-30 |
| 1285731752 | Jerry L Old | Family Medicine | 15329 W 95th St, Lenexa, KS 66219-1262 | 2006-09-19 |
| 1184668279 | William John Hendricks | Family Medicine | 8700 Bourgade St, Suite 2, Lenexa, KS 66219-1440 | 2006-06-16 |
| 1154374106 | Lynne Ann Holz | Family Medicine | 12324 W 101st Ter, Lenexa, KS 66215-1808 | 2006-05-19 |
| Find all providers in LENEXA | ||||
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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.