Deborah L. Aldridge, P.A.
Individual provider Active NPI Physician Assistant · Olathe, KS
NPI 1104830652 · NPPES record last updated Jan 4, 2013
Key facts
- NPI
- 1104830652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 15-00612 (KS)
- Practice address
- 1803 S Ridgeview Rd
Olathe, KS 66062-2376 - Phone
- (913) 829-0505
- Fax
- (913) 338-1311
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Overland Park Surgical Specialties LLC
Practice addresses (Care Compare)
10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 541-5000
10600 Mastin St
Overland Park, KS 66212-5723
1803 S Ridgeview Rd
Olathe, KS 66062-2376
Phone (913) 829-0505
Hospital & facility affiliations
- University of Kansas Health System Olathe Hospital
- University of Kansas Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101013000301 | KS | Practitioner - Physician Assistant | 4486846136 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-00612 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Park Family Care Center, P.a. | Past | Accepting new patients | |
| College Park Family Care Center PA | Past | Accepting new patients |
Interoperability endpoints
- deborah.aldridge@hca2.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15-00612 | KS | Yes |
Addresses
Primary practice location
1803 S Ridgeview Rd
Olathe, KS 66062-2376
Mailing address
PO Box 741331
Atlanta, GA 30374-1331
Phone (913) 469-0503
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.