Blue Valley ASC, P.a.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

4722856 Issued in KS

Legal business name

BLUE VALLEY ASC, P.A.

Practice address

12800 Metcalf Avenue Suite 2
Overland Park, KS 66213

Phone

(913) 626-4633

NPI assigned

Jun 6, 2013

Last updated

Jun 6, 2013By 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

Travis S Foxx, MDNPI 1881680726

Title

President/Owner

Phone

(913) 626-4633

Specialties & licenses 1

Addresses

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.

• Travis Foxx, MD

  • Pain Medicine (Anesthesiology) Physician
  • Overland Park, KS
  • NPI 1881680726
  Authorized official Same address or phone

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1407294986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 METCALF AVE STE 2",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132607",
            "telephone_number": "913-626-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 METCALF AVENUE SUITE 2",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66213",
            "telephone_number": "913-626-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE VALLEY ASC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "FOXX",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "913-626-4633",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "KS",
            "license": "4722856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen A Bloom, M.D.
• Heather Bloomcamp, LCPC
• Blue Hospice LLC
• Blue Sky Fertility Services LLC
• Blue Valley Anesthesiology, LLC
• Blue Valley Counseling
• Blue Valley Dermatology LLC
• Blue Valley Endocrinology, P.a.
• Blue Valley Eyecare, LLC (Blue Valley Eyecare)
• Blue Valley Pediatric Dental, LLC (Blue Valley Pediatric Dentistry)

• 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 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.