Comprehensive Concussion Care, P.a.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

04-28802 Issued in KS

Legal business name

COMPREHENSIVE CONCUSSION CARE, P.A.

Practice address

11940 W 119TH St
Overland Park, KS 66213-2216

Phone

(913) 907-9554

NPI assigned

Jan 30, 2016

Last updated

Jan 30, 2016By 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

Prem Parmar, MD

Title

Medical Director

Phone

(913) 351-3005

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.

• Timothy D. Kalkman, PA-C

  • Physician Assistant
  • Olathe, KS
  • NPI 1811155344
  NPD (past)

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

{
    "created_epoch": "1454112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454112000000",
    "number": "1730547167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27850 SILVER WRAITH DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660618912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11940 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132216",
            "telephone_number": "913-907-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CONCUSSION CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-30",
        "last_updated": "2016-01-30",
        "status": "A",
        "authorized_official_last_name": "PARMAR",
        "authorized_official_first_name": "PREM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "913-351-3005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "KS",
            "license": "04-28802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Medical Specialty Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2016; 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.