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NOVAMED EYE SURGERY CENTER OF OVERLAND PARK LLC NPI 1629078043


NPI Information

NPI: 1629078043
Provider Name: NOVAMED EYE SURGERY CENTER OF OVERLAND PARK, LLC

Doing Business As: OVERLAND PARK SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 17D0901687

Address:
5520 COLLEGE BLVD
SUITE 200
OVERLAND PARK, KS
ZIP 66211
Phone: (913) 491-3040
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NOVAMED EYE SURGERY CENTER OF OVERLAND PARK, LLC is an ambulatory surgical clinic center in Overland Park, KS. NOVAMED EYE SURGERY CENTER OF OVERLAND PARK, LLC NPI is 1629078043. The provider is registered as an organization entity type.
The provider Is Doing Business As Overland Park Surgery Center.

The provider's business location address is:

5520 COLLEGE BLVD
SUITE 200
OVERLAND PARK, KS
ZIP 66211-630
Phone: (913) 491-3040
Fax: (913) 491-3640

The provider's authorized official is Jennifer Boyd Baldock .
The authorized official title is Officer And Authorized Official and has the following contact phone number (615) 234-5900.

The CLIA number assigned to this NPI record is 17D0901687 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2005 and was last updated on 10/13/2020.


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
1261QA1903XClinic/CenterAmbulatory SurgicalS-046-005KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1508157302MEDICAIDMISSOURI
2100279090AMEDICAIDKANSAS
3490003071OTHERRR MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.