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OVERLAND PARK SURGICAL SPECIALTIES LLC NPI 1609031012


NPI Information

NPI: 1609031012
Provider Name: OVERLAND PARK SURGICAL SPECIALTIES, LLC

Doing Business As: COLLEGE PARK FAMILY CARE CENTER PHYSICIANS GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 17D1101707

Address:
10600 MASTIN ST
OVERLAND PARK, KS
ZIP 66212
Phone: (913) 469-6447
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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 1609031012. 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:

10600 MASTIN ST
OVERLAND PARK, KS
ZIP 66212-723
Phone: (913) 469-6447

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 17D1101707 - 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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