Overland Park Surgical Suites, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

OVERLAND PARK SURGICAL SUITES, LLC

Practice address

6650 W 110TH St Ste 300
Overland Park, KS 66211

Phone

(913) 469-6777

Fax

(913) 469-4046

NPI assigned

May 3, 2017

Last updated

Jun 20, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Corinna Carol Doyle

Title

Nurse Administrator

Phone

(913) 485-4383

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Listed as

Overland Park Surgical SuitesCCN 17C0001093

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Marvin Abraham, MD

  • Orthopaedic Surgery Physician
  • Overland Park, KS
  • NPI 1265659296
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1043746555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 W 110TH ST",
            "address_2": "SUITE 300",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111501",
            "telephone_number": "913-485-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 W 110TH ST STE 300",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66211",
            "telephone_number": "913-469-6777",
            "fax_number": "913-469-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERLAND PARK SURGICAL SUITES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "CORINNA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "NURSE ADMINISTRATOR",
        "authorized_official_telephone_number": "913-485-4383",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Overland Park SNF Healthcare LLC (Overland Park Post Acute)
• Overland Park Surgical Specialties LLC (College Park Family Care Center Physicians Group)
• Overland Park Surgical Specialties, LLC (College Park Family Care Center Physicians Group)
• Overland Park Surgical Specialties, LLC (College Park Family Care Center Physicians Group)
• Overland Park Surgical Specialties, LLC (College Park Family Care Center Physicians Group)
• Overland Park Wellness, L.L.C.
• Overland Rose Senior Living LLC (Rose Estates Assisted Living Community)
• Timothy Whitman Owen, ARNP
• Amanda Owens
• Jay Gordon Owens, DO

• Ambulatory Surgical Clinic/Center in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Ambulatory Surgical Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.