OVERLAND PARK SURGICAL SPECIALTIES, LLC (NPI# 1366607764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366607764 |
| Entity Type | Organization |
| Organization Name | OVERLAND PARK SURGICAL SPECIALTIES, LLC |
| Other Organization Name | COLLEGE PARK FAMILY CARE CENTER PHYSICIANS GROUP |
| Practice Address |
11164 S Noble Dr Olathe KS 66061-7528 |
| Mailing Address |
Po Box 741331 Atlanta GA 30374-1331 |
| Practice Telephone | 9138292440 |
| Practice Fax Number | 9133381311 |
| 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 |
| 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 |
| 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 |
11164 S NOBLE DR |
| City | OLATHE |
| State | KS |
| Zip Code | 66061-7528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497742886 | Mark L Gillett | Family Medicine | 11164 S Noble Dr, Olathe, KS 66061-7528 | 2005-09-30 |
| 1548622590 | Amanda Morris | Nurse Practitioner | 11164 S Noble Dr, Olathe, KS 66061-7572 | 2016-03-28 |
| 1578872198 | Julius Hall | Physical Therapy Assistant | 11164 S Noble Dr, Olathe, KS 66061-7572 | 2010-09-30 |
| 1235273483 | Labone Inc | Clinical Medical Laboratory | 11164 S Noble Dr, Olathe, KS 66061-7528 | 2007-02-19 |
| 1922026921 | Eric S Neuer | Dentist | 11164 S Noble Dr, Olathe, KS 66061-7528 | 2006-07-17 |
| 1154360345 | Daniel J Bednarczyk | Dentist | 11164 S Noble Dr, Olathe, KS 66061-7528 | 2006-06-05 |
| 1629050166 | Peter A Bock | Family Medicine | 11164 S Noble Dr, Olathe, KS 66061-7572 | 2005-11-18 |
| 1619964848 | Thomas G Miller | Family Medicine | 11164 S Noble Dr, Olathe, KS 66061-7528 | 2005-10-03 |
| 1215924600 | Fred A Church | Family Medicine | 11164 S Noble Dr, Olathe, KS 66061-7528 | 2005-09-30 |
| 1851388243 | Holly A Kaufman | Family Medicine | 11164 S Noble Dr, Olathe, KS 66061-7528 | 2005-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192967 | Sarah L Gilliland | Registered Nurse | Olathe School District, Central Elementary, 305 E. Cedar St., Olathe, KS 66061 | 2020-04-16 |
| 1518517382 | Olathe West Dentistry, Pa | Dentist | 2180 West Dartmouth Street, Olathe, KS 66061 | 2019-09-13 |
| 1992354815 | Terry Graves | Technician | 11640 S. Pine St., Olathe, KS 66061 | 2019-09-04 |
| 1154975746 | Nydia Smith | Dietitian, Registered | 11875 W Sunset Drive Suite 300, Olathe, KS 66061 | 2019-07-31 |
| 1598235160 | John Toplikar | Specialist/Technologist | 507 E Spruce St, Olathe, KS 66061 | 2018-11-27 |
| 1639679103 | A Friend In Need Home Care, LLC | Home Health | 1033 E Pineview St, Olathe, KS 66061 | 2018-02-20 |
| 1023529468 | Molly Marie Hulsen | Nurse Practitioner | 20805 W. 151st Street, The Doctors Bldg #2, Ste. 400, Olathe, KS 66061 | 2017-10-12 |
| 1093230682 | Salakchit Lyfoung | Physician Assistant | 225 S Normandy St, Olathe, KS 66061 | 2017-08-04 |
| 1376063289 | Hana Tahaei | Dietitian, Registered | 20333 W. 151st Street, Olathe, KS 66061 | 2017-06-21 |
| 1396273447 | Cosenza Maria Bryson | Counselor | 21344 W. 153rd Street, Olathe, KS 66061 | 2017-06-01 |
| Find all providers in zip 66061 | ||||
| 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 |
|---|---|---|---|---|
| 1043794373 | Rajwinder Kaur | Family Medicine | 540 E Santa Fe St Ste E, Olathe, KS 66061-3400 | 2018-09-22 |
| 1326551144 | Shawnee Mission Medical Center Inc | Family Medicine | 15710 W 135th St Ste 200, Olathe, KS 66062-1508 | 2017-11-15 |
| 1043736168 | Populus Physician Services, L.L.C. | Family Medicine | 15710 W 135th St Fl 2, Olathe, KS 66062-1511 | 2017-08-21 |
| 1962930156 | Sharma Catherine Prosser Mckinney | Family Medicine | 13351 S Arapaho Drive, Cottonwood Springs, Olathe, KS 66062 | 2017-06-01 |
| 1548619968 | Connor W Hartpence | Family Medicine | 15435 W 134th Pl # 103, Olathe, KS 66062-6135 | 2016-06-07 |
| 1811345432 | Advanced Healthcare & Sports Injury, Pa | Family Medicine | 20160 W. 153rd Street, Olathe, KS 66062-9131 | 2016-05-25 |
| 1992037048 | Montrose County School District No. Re-1j | Family Medicine | 211 North Roberts, Olathe, CO 81425 | 2010-01-31 |
| 1366671422 | Jason Kyle Bessey | Family Medicine | 15710 W 135th Street, Suite 200, Olathe, KS 66062-1511 | 2009-07-10 |
| 1386873578 | Lauren Janelle Bessey | Family Medicine | 15710 W. 135th Street, Suite 200, Olathe, KS 66062-1511 | 2009-07-08 |
| 1750584793 | John Richard Chenoweth | Family Medicine | 1003 S Stratford Rd, Olathe, KS 66062-2116 | 2007-06-07 |
| Find all providers in OLATHE | ||||
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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.