BLUE VALLEY ASC, P.A. (NPI# 1407294986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407294986 |
| Entity Type | Organization |
| Organization Name | BLUE VALLEY ASC, P.A. |
| Practice Address |
12800 Metcalf Avenue Suite 2 Overland Park KS 66213 |
| Mailing Address |
12800 Metcalf Ave Ste 2 Overland Park KS 66213-2607 |
| Practice Telephone | 9136264633 |
| Mailing Telephone | 9136264633 |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |
| Authorized Official Name | TRAVIS S FOXX (PRESIDENT/OWNER) |
| Authorized Official Telephone | 9136264633 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
4722856 | KS | Ambulatory Health Care Facilities |
| Street Address |
12800 METCALF AVENUE SUITE 2 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
| 1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
| 1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
| 1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| 1558640359 | Overland Park Senior Living | Alzheimer Center (Dementia Center) | 10101 W. 127th Street, Overland Park, KS 66213 | 2011-08-10 |
| Find all providers in zip 66213 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1104993385 | Surgery Center of Blue Valley, Inc | Clinic/Center | 7230 West 129th Street, Overland Park, KS 66213-2624 | 2006-11-30 |
| 1831283324 | Ambulatory Surgery Center of Kc, Inc | Clinic/Center | 9385 W. 75th St., Overland Park, KS 66204 | 2006-10-02 |
| 1659473924 | Mid-america Surgery Institute LLC | Clinic/Center | 5525 West 119th Street, Suite 100, Overland Park, KS 66209 | 2006-09-05 |
| 1528099207 | Deer Creek Surgery Center, LLC | Clinic/Center | 7220 W 129th Street, Overland Park, KS 66213 | 2006-07-05 |
| 1275596314 | Johnson County Surgery Center, L.p. | Clinic/Center | 8800 Ballentine St, Overland Park, KS 66214-1900 | 2006-04-10 |
| 1629510326 | College Park Endoscopy Center, LLC | Clinic/Center | 10787 Nall Ave, Suite 100, Overland Park, KS 66211-1375 | 2016-11-11 |
| 1215388632 | Motus Biologics and Sports Medicine LLC | Clinic/Center | 5525 W 119th St, Ste 250, Overland Park, KS 66209-3724 | 2016-06-27 |
| 1508203241 | College Park Ancillary, LLC | Clinic/Center | 10600 Mastin St, Overland Park, KS 66212-5723 | 2013-06-03 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66213 |
Please comment or provide details below to improve the information on BLUE VALLEY ASC, P.A..
| 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.