College Park Family Care Center PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COLLEGE PARK FAMILY CARE CENTER PA

Practice address

11755 W 112TH St
Suite 101
Overland Park, KS 66210-2761

Phone

(913) 469-0503

Fax

(913) 338-1311

NPI assigned

May 1, 2006

Last updated

Mar 26, 2010By 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

Chuck O. Chambers

Title

Administrator

Phone

(913) 469-0503

Specialties & licenses 10

Addresses

Locations

Practitioners 151

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.

• Calvin E Beck, M.D.

  • Family Medicine Physician
  • Overland Park, KS
  • NPI 1710974100
  NPD
• John R Bernard, M.D.

  • Family Medicine Physician
  • Overland Park, KS
  • NPI 1023005238
  NPD
• Gregory E Chambon, M.D.

  • Family Medicine Physician
  • Stanley, KS
  • NPI 1861489205
  NPD
• Fred A Church, D.O.

  • Family Medicine Physician
  • Olathe, KS
  • NPI 1215924600
  NPD
• Gregory L Curry, M.D.

  • Family Medicine Physician
  • Overland Park, KS
  • NPI 1750377719
  NPD
• Bradley E Davis, MD

  • Urology Physician
  • Overland Park, KS
  • NPI 1811989585
  NPD
• David E Dobratz, M.D.

  • Family Medicine Physician
  • Overland Park, KS
  • NPI 1245226166
  NPD
• Jeffrey J Earl, D.O.

  • Family Medicine Physician
  • Stilwell, KS
  • NPI 1710974092
  NPD
• Mark L Gillett, M.D.

  • Family Medicine Physician
  • Leawood, KS
  • NPI 1497742886
  NPD
• Mark R Kahler, M.D.

  • Family Medicine Physician
  • Overland Park, KS
  • NPI 1518953561
  NPD
• Holly A Kaufman, M.D.

  • Family Medicine Physician
  • Olathe, KS
  • NPI 1851388243
  NPD
• Yutaka Kawase, M.D.

  • Family Medicine Physician
  • Stanley, KS
  • NPI 1881681229
  NPD

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1740248772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 W 112TH ST",
            "address_2": "SUITE 101",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102761",
            "telephone_number": "913-469-0503",
            "fax_number": "913-338-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11755 W 112TH ST",
            "address_2": "SUITE 101",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102761",
            "telephone_number": "913-469-0503",
            "fax_number": "913-338-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE PARK FAMILY CARE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "913-469-0503"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colin N Mackenzie MD LC
• Michael Allan-Joseph Colin, LPC, LMAC, CTP, NCC
• College Park Ancillary, LLC (College Park Physical Therapy)
• College Park Ancillary, LLC
• College Park Endoscopy Center LLC (College Park Surgery Center)
• College Park Family Care Center, P.a.
• College Park Family Care Center, P.a.
• College Park Family Care Center, P.a.
• College Park Family Care Center, P.a.
• College Park Family Care Center, P.a.

• Family Medicine Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.