COLLEGE PARK FAMILY CARE CENTER, P.A. (NPI# 1861415846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861415846 |
| Entity Type | Organization |
| Organization Name | COLLEGE PARK FAMILY CARE CENTER, P.A. |
| Other Organization Name | AMBULATORY SURGICAL CENTER |
| Practice Address |
11725 W 112th St Overland Park KS 66210-2761 |
| Practice Telephone | 9134695579 |
| Practice Fax Number | 9133381311 |
| Mailing Telephone | 9134695579 |
| Mailing Fax Number | 9133381311 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-12-10 |
| Authorized Official Name | CHARLES O. CHAMBERS (ADMINISTRATOR) |
| Authorized Official Telephone | 9134690503 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
S-046-007 | KS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | MEDICARE | 8500019 | 01 |
| Other Name | Type Code |
|---|---|
| Ambulatory Surgical Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528250941 | College Park Family Care Center, P.a. | Clinic/Center | 10590 Barkley St, Overland Park, KS 66212-1811 | 2007-08-10 |
| 1780894741 | College Park Family Care Center, P.a. | Internal Medicine | 12200 W 106th St, Ste 235, Overland Park, KS 66215-2300 | 2007-05-22 |
| 1881803229 | College Park Family Care Center, P.a. | Clinic/Center | 11755 W 112th St, Ste. 101, Overland Park, KS 66210-2761 | 2007-05-22 |
| 1952515041 | College Park Family Care Center, P.a. | Clinic/Center | 11725 W 112th St, Overland Park, KS 66210-2761 | 2007-05-09 |
| Street Address |
11725 W 112TH ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66210-2761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720073281 | Sarah M Baker | Family Medicine | 11725 W 112th St, Overland Park, KS 66210-2761 | 2005-09-12 |
| 1972983849 | John Grisham | Family Medicine | 11725 W 112th St, Overland Park, KS 66210 | 2015-06-04 |
| 1124418843 | Madeline Sarane Lane | Nurse Practitioner | 11725 W 112th St, Overland Park, KS 66210-2761 | 2015-02-02 |
| 1760888671 | Hannah Jenkins | Nurse Practitioner | 11725 W 112th St, Overland Park, KS 66210-2761 | 2014-11-05 |
| 1245679760 | Marisa Argubright | Family Medicine | 11725 W 112th St, Overland Park, KS 66210-2761 | 2013-06-18 |
| 1508133349 | Sharon Rose Milberger | Nurse Practitioner | 11725 W 112th St, Overland Park, KS 66210-2761 | 2011-11-22 |
| 1336443274 | Kristen C Ferrell | Nurse Practitioner | 11725 W 112th St, Overland Park, KS 66210-2761 | 2011-01-07 |
| 1730345885 | Overland Park Surgical Specialties, LLC | Family Medicine | 11725 W 112th St, Overland Park, KS 66210-2761 | 2008-07-29 |
| 1215138748 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 11725 W 112th St, Overland Park, KS 66210-2761 | 2007-05-31 |
| 1952515041 | College Park Family Care Center, P.a. | Clinic/Center | 11725 W 112th St, Overland Park, KS 66210-2761 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1417591165 | Refractive Cataract Center, LLC | Clinic/Center | 8300 College Boulevard, Suite 201, Overland Park, KS 66210 | 2019-11-05 |
| 1336705730 | Above & Beyond In-home Kansas, LLC | In Home Supportive Care | 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 | 2019-05-13 |
| 1528531720 | Sarah J Sievers | Acupuncturist | 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 | 2019-01-10 |
| 1790286326 | Sarah E Hamilton | Physician Assistant | 8490 College Boulevard, Overland, KS 66210 | 2018-02-28 |
| 1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
| 1639610603 | Kayla Jolene Lawrance | Advanced Practice Midwife | 9202 W. 110th St., Building 36, Overland Park, KS 66210 | 2017-03-10 |
| 1972041952 | Ccrc of Cedar Rapids, LLC | Skilled Nursing Facility | 11827 W 112th St, Suite 103, Overland Park, KS 66210 | 2017-02-09 |
| 1396122008 | Laurie Jean Sansom | Counselor | 8575 W. 110th, Ste. 218, Overland Park, KS 66210 | 2015-05-01 |
| 1790181063 | Susan J. Anderson, Psy.d., Pa | Psychologist | 8500 W. 100th Street, 540, Overland Park, KS 66210 | 2014-11-13 |
| Find all providers in zip 66210 | ||||
| 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 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 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 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66210 |
Please comment or provide details below to improve the information on COLLEGE PARK FAMILY CARE CENTER, 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.