Bruce W Young (NPI# 1487641866, PAC ID# 1850422114) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1487641866 |
| PAC ID by PECOS | 1850422114 |
| Professional Enrollment ID | I20100630000371 |
| Full Name | Bruce W Young |
| Organization Legal Name | OVERLAND PARK SURGICAL SPECIALTIES LLC |
| Address |
1803 S Ridgeview Rd Olathe KS 66062-2376 |
| Phone Number | 9138290505 |
| Gender | M |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9234318502 |
| Number of Group Practice Members | 131 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170176 | OVERLAND PARK REG MED CTR |
| Address | Phone | Organization |
|---|---|---|
| 1803 S Ridgeview Rd, Olathe, KS 66062-2376 | 9138290505 | OVERLAND PARK SURGICAL SPECIALTIES LLC |
| 10500 Quivira Rd, Overland Park, KS 66215-2306 | 9135415000 | OVERLAND PARK SURGICAL SPECIALTIES LLC |
| 10600 Mastin St, Overland Park, KS 66212-5723 | OVERLAND PARK SURGICAL SPECIALTIES LLC | |
| 11725 W 112th St, Overland Park, KS 66210-2761 | 9134695452 | OVERLAND PARK SURGICAL SPECIALTIES LLC |
| Organization Legal Name | OVERLAND PARK SURGICAL SPECIALTIES LLC |
| Physicians | 129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nida Gursel Dillon | Family Medicine | Overland Park Surgical Specialties LLC | 11725 W 112th St, Overland Park, KS 66210-2761 |
| Jeremy B Kirchoff | Family Medicine | Overland Park Surgical Specialties LLC | 12210 W 87th St Pkwy, Lenexa, KS 66215-2834 |
| Coedy S Walker | Physical Therapy | Overland Park Surgical Specialties LLC | 11164 S Noble Dr, Olathe, KS 66061-7572 |
| Jessica M Blake | Nurse Practitioner | Overland Park Surgical Specialties LLC | 15101 Glenwood Ave, Stanley, KS 66223-3154 |
| Amy M Schleper | Registered Dietitian Or Nutrition Professional | Overland Park Surgical Specialties LLC | 10100 W 119th St, Suite 150, Overland Park, KS 66213-4100 |
| Ngoc-lan Thi Nguyen | Family Medicine | Overland Park Surgical Specialties LLC | 10600 Mastin St, Overland Park, KS 66212-5723 |
| Christopher D Wright | Family Medicine | Overland Park Surgical Specialties LLC | 1803 S Ridgeview Rd, Olathe, KS 66062-2376 |
| Young J Cho | Family Medicine | Overland Park Surgical Specialties LLC | 801 N Mur Len Rd, Suite 211, Olathe, KS 66062-1794 |
| Michael A Sabolovic | Physical Therapy | Overland Park Surgical Specialties LLC | 10500 Quivira Rd, Overland Park, KS 66215-2306 |
| Sofia M Bacon | Physical Therapy | Overland Park Surgical Specialties LLC | 10600 Mastin St, Overland Park, KS 66212-5723 |
| Street Address |
1803 S RIDGEVIEW RD |
| City | OLATHE |
| State | KS |
| Zip | 66062-2376 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher D Wright | Family Medicine | Overland Park Surgical Specialties LLC | 1803 S Ridgeview Rd, Olathe, KS 66062-2376 |
| Deborah L Aldridge | Physician Assistant | Overland Park Surgical Specialties LLC | 1803 S Ridgeview Rd, Olathe, KS 66062-2376 |
| Kayla Young | Nurse Practitioner | Overland Park Surgical Specialties LLC | 1803 S Ridgeview Rd, Olathe, KS 66062-2376 |
| Heather A Grisham | Family Medicine | Overland Park Surgical Specialties LLC | 1803 S Ridgeview Rd, Olathe, KS 66062-2376 |
| Michael W Mathews | Family Medicine | Overland Park Surgical Specialties LLC | 1803 S Ridgeview Rd, Olathe, KS 66062-2376 |
| Wesley K Nash | Family Medicine | Overland Park Surgical Specialties LLC | 1803 S Ridgeview Rd, Olathe, KS 66062-2376 |
| Laura G Reilly | Neurology | Overland Park Surgical Specialties LLC | 1803 S Ridgeview Rd, Olathe, KS 66062-2376 |
| Danielle C Schrick | Physician Assistant | Overland Park Surgical Specialties LLC | 1803 S Ridgeview Rd, Olathe, KS 66062-2376 |
| Diane D Gonzalez | Nurse Practitioner | Overland Park Surgical Specialties LLC | 1803 S Ridgeview Rd, Olathe, KS 66062-2376 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna M Dietz Henk | Clinical Social Worker | 11695 S Blackbob Rd, Olathe, KS 66062-1058 | |
| Jere Lee Mills | Chiropractic | 13795 S Mur-len Rd, Suite 203, Olathe, KS 66062-1096 | |
| Tracy S Alagna | Nurse Practitioner | Mid America Senior Management LLC | 16600 W 126th St, Villa St Francis, Olathe, KS 66062-1184 |
| Mary Sue Hardage | Clinical Social Worker | 511 N Mur Len Rd, Olathe, KS 66062-1242 | |
| Jeremy S Dulin | Chiropractic | 13095 S Mur Len Rd, Suite 170, Olathe, KS 66062-1250 | |
| Kim P Miley | Chiropractic | 13095 S Mur Len Rd, Suite 170, Olathe, KS 66062-1250 | |
| Troy I Rockers | Chiropractic | 501 N Mur Len Rd A, Olathe, KS 66062-1258 | |
| Brent L Halderman | Psychologist, Clinical | 513 N Mur Len Rd, Olathe, KS 66062-1318 | |
| Carol Sabath | Nurse Practitioner | Take Care Health Kansas Pa | 13450 S Blackbob Rd, Olathe, KS 66062-1503 |
| Callie Ballenger | Nurse Practitioner | Take Care Health Kansas Pa | 13450 S Blackbob Rd, Olathe, KS 66062-1503 |
| Find all physicians in zip 66062 | |||
| City | OLATHE |
| Zip Code | 66062 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OLATHE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Bruce W Young.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.