OVERLAND PARK SURGICAL SPECIALTIES LLC NPI 1518122910

NPI Information

  • NPI: 1518122910
  • Provider Name: OVERLAND PARK SURGICAL SPECIALTIES, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: COLLEGE PARK FAMILY CARE CENTER PHYSICIANS GROUP
  • CLIA Number: 17D2023633
  • Address: 10100 W 119TH ST
    STE 150
    OVERLAND PARK, KS
    ZIP 66213
  • Phone: (913) 754-0061

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NPI Details

OVERLAND PARK SURGICAL SPECIALTIES, LLC is a family medicine in Overland Park, KS. The provider is 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. OVERLAND PARK SURGICAL SPECIALTIES, LLC NPI is 1518122910. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As College Park Family Care Center Physicians Group.

The provider's business location address is:

10100 W 119TH ST
STE 150
OVERLAND PARK, KS
ZIP 66213-604
Phone: (913) 754-0061

The provider's authorized official is Chuck Chambers .
The authorized official title is Administrator and has the following contact phone number (913) 469-0503.

The CLIA number assigned to this NPI record is 17D2023633 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/24/2008 and was last updated on 12/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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