Active NPI
Novamed Eye Surgery Center of Overland Park, LLC
Doing business as Novamed Eye Surgery Center OP
- Certified Registered Nurse Anesthetist
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- NOVAMED EYE SURGERY CENTER OF OVERLAND PARK, LLC
- Doing business as
- Novamed Eye Surgery Center OP
- Practice address
- 5520 College Blvd
Overland Park, KS 66211-1630 - Phone
- (913) 491-3040
- NPI assigned
- Apr 3, 2007
- Last updated
- Oct 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Boyd Baldock
- Title
- Officer and Authorized Official
- Phone
- (615) 234-5900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
5520 College Blvd
Overland Park, KS 66211-1630
Mailing address
12239 Collections Center Drive
Chicago, IL 60693-0122
Phone (913) 906-6570
Other names 1
- Novamed Eye Surgery Center OP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051109001232 | KS | Part B Supplier - Clinic/Group Practice | 7012909872 |
Receives reassigned benefits from 31 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Overland Park, KS |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Overland Park Surgery Center
- Ambulatory Surgical Clinic/Center
- Overland Park, KS
- NPI 1629078043
O20051109001232
National Provider Directory
National Provider Directory- Tax ID family
- Novamed Eye SRG Ctrov PK Prof Fee
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Overland Park Surgery Center
- Ambulatory Surgical Clinic/Center
- Overland Park, KS
- NPI 1629078043
Locations
12239 Collection Ctr Dr
Chicago, IL 60693
12239 Collections Ctr Dr
Chicago, IL 60693
5520 College Blvd
Ste 200
Overland Park, KS 66211
Phone (913) 491-3040
Practitioners & affiliated clinicians
Practitioners 46
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.
-
- Certified Registered Nurse Anesthetist
- Kansas City, KS
- NPI 1205373321
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Newton, KS
- NPI 1568439263
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Overland Park, KS
- NPI 1144663576
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Olathe, KS
- NPI 1346229374
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Kansas City, KS
- NPI 1891999249
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Olathe, KS
- NPI 1740668581
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Leavenworth, KS
- NPI 1457307654
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Overland Park, KS
- NPI 1497132278
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Overland Park, KS
- NPI 1427321074
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- O'Fallon, MO
- NPI 1306140579
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Kansas City, MO
- NPI 1891793238
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Kansas City, MO
- NPI 1679835839
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602547200000",
"number": "1285755330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12239 COLLECTIONS CENTER DRIVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606930122",
"telephone_number": "913-906-6570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5520 COLLEGE BLVD",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111630",
"telephone_number": "913-491-3040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVAMED EYE SURGERY CENTER OF OVERLAND PARK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A",
"authorized_official_last_name": "BALDOCK",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "BOYD",
"authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "615-234-5900"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Novamed Eye Surgery Center OP",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Novamed Eye Surgery Center OP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.