Novamed Eye Surgery Center of Overland Park, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

NOVAMED EYE SURGERY CENTER OF OVERLAND PARK, LLC

Practice address

5520 College Blvd
Overland Park, KS 66211-1630

Phone

(913) 491-3040

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Addresses

Other names 1

• Novamed Eye Surgery Center OP Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Tax ID family

Novamed Eye SRG Ctrov PK Prof Fee2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Novamed Eye Surgery Center of Overland Park, LLC

  • Ambulatory Surgical Clinic/Center
  • Overland Park, KS
  • NPI 1629078043
  NPD tax ID

Locations

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Novamed Eye Surgery Center of Overland Park, LLC

  • Ambulatory Surgical Clinic/Center
  • Overland Park, KS
  • NPI 1629078043

  O20051109001232

  Same enrollment

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyleigh Armilio

  • Certified Registered Nurse Anesthetist
  • Kansas City, KS
  • NPI 1205373321

  Nurse Anesthetist, Certified Registered

  NPD
• Amanda M Canady, CRNA

  • Certified Registered Nurse Anesthetist
  • Newton, KS
  • NPI 1568439263

  Nurse Anesthetist, Certified Registered

  NPD
• Erica Ann Floodman, CRNA

  • Certified Registered Nurse Anesthetist
  • Overland Park, KS
  • NPI 1144663576

  Nurse Anesthetist, Certified Registered

  NPD
• Cindy J Goe, CRNA MA

  • Certified Registered Nurse Anesthetist
  • Olathe, KS
  • NPI 1346229374

  Nurse Anesthetist, Certified Registered

  NPD
• Brandi E. Huffstutter, CRNA

  • Certified Registered Nurse Anesthetist
  • Kansas City, KS
  • NPI 1891999249

  Nurse Anesthetist, Certified Registered

  NPD
• Brian C Piere, CRNA

  • Certified Registered Nurse Anesthetist
  • Olathe, KS
  • NPI 1740668581

  Nurse Anesthetist, Certified Registered

  NPD
• Ruth Pottinger, CRNA

  • Certified Registered Nurse Anesthetist
  • Leavenworth, KS
  • NPI 1457307654

  Nurse Anesthetist, Certified Registered

  NPD
• Jamie Seller

  • Certified Registered Nurse Anesthetist
  • Overland Park, KS
  • NPI 1497132278

  Nurse Anesthetist, Certified Registered

  NPD
• Stephanie A White, CRNA

  • Certified Registered Nurse Anesthetist
  • Overland Park, KS
  • NPI 1427321074

  Nurse Anesthetist, Certified Registered

  NPD
• Andrea N Atkins, CRNA

  • Certified Registered Nurse Anesthetist
  • O Fallon, MO
  • NPI 1306140579

  Nurse Anesthetist, Certified Registered

  NPD
• Lisa Kathleen Cast, CRNA

  • Certified Registered Nurse Anesthetist
  • Kansas City, MO
  • NPI 1891793238

  Nurse Anesthetist, Certified Registered

  NPD
• Casey Dahn, CRNA

  • Certified Registered Nurse Anesthetist
  • Kansas City, MO
  • NPI 1679835839

  Nurse Anesthetist, Certified Registered

  NPD

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"
        }
    ]
}

• Ariel Lauren Nothern
• Nourish Pediatric Therapy LLC
• Nourishedllc
• Stephanie Novacek I, DPT
• Katharine C. Novak, MD
• Novamed Eye Surgery Center of Overland Park, LLC
• Dani Novo, LMSW
• Noyce Family Eye Care Inc
• Nicci R Noyce, OD
• Derek Steven Nugent, MS, CFY-SLP

• All providers in Overland Park, KS
• Certified Registered Nurse Anesthetist in Kansas

• 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.

Verify at the official NPI Registry.