College Park Family Care Center PA
Organization Active NPI Family Medicine Physician · Overland Park, KS
NPI 1740248772 · NPPES record last updated Mar 26, 2010
Key facts
- NPI
- 1740248772
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 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
- Organization subpart
- No
Authorized official
- Name
- Chuck O. Chambers
- Title
- Administrator
- Phone
- (913) 469-0503
Practitioners 150
-
Calvin E Beck, M.D.
-
John R Bernard, M.D.
-
Gregory E Chambon, M.D.
-
Fred A Church, D.O.
-
Gregory L Curry, M.D.
-
Bradley E Davis, MD
-
David E Dobratz, M.D.
-
Jeffrey J Earl, D.O.
-
Mark L Gillett, M.D.
-
Mark R Kahler, M.D.
-
Holly A Kaufman, M.D.
-
Yutaka Kawase, M.D.
-
Anne H Kettler, M.D.
-
Tom Kettler, M.D.
-
Randall W Madison, M.D.
-
Michael W Mathews, M.D.
-
Thomas G Miller, M.D.
-
Gerald R Oliver, M.D.
-
Bruce L Pfuetze, M.D.
-
Robert M Pruitt, M.D.
-
James A Rahto, M.D.
-
Richard Randolph III, M.D.
-
Robert L Schuchardt, M.D.
-
Suzanne H Shaffer, M.D.
-
Joyce L Simon, M.D.
National Provider Directory
Locations
11725 W 112th St
Ste 101
Overland Park, KS 66210
12200 W 106th St
Ste 235
Overland Park, KS 66215
Phone (913) 492-8686
10600 Mastin St
Ste C
Overland Park, KS 66212
Phone (913) 469-6447
12140 W 135th St
Overland Park, KS 66221
Phone (913) 897-4667
12210 W 87th Street Pkwy
Ste 135
Overland Park, KS 66215
Phone (913) 438-6700
5100 W 110th St
Fl 2
Overland Park, KS 66211
Phone (913) 253-3000
10600 Mastin St
Ste B
Overland Park, KS 66212
Phone (913) 469-6447
10500 Quivira Rd
Ste 130
Overland Park, KS 66215
Phone (913) 956-4200
10100 W 119th St
Ste 200
Overland Park, KS 66213
Phone (913) 469-8878
11755 W 112th St
Ste 101
Overland Park, KS 66210
Phone (913) 469-0503
11755 W 112th St
Ste 103
Shawnee Mission, KS 66210
12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician |
207K00000X | |||
| Dermatology Physician |
207N00000X | |||
| Family Medicine Physician |
207Q00000X | Yes | ||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Orthopaedic Surgery Physician |
207X00000X | |||
| Otolaryngology Physician |
207Y00000X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician |
2081P2900X | |||
| Neurology Physician |
2084N0400X | |||
| Surgery Physician |
208600000X | |||
| Urology Physician |
208800000X |
Addresses
Primary practice location
11755 W 112TH St
Suite 101
Overland Park, KS 66210-2761
Mailing address
11755 W 112TH St
Suite 101
Overland Park, KS 66210-2761
Phone (913) 469-0503
Other providers in Overland Park, KS
- Colin N Mackenzie MD LC
- Michael Allan-Joseph Colin
- College Park Ancillary, LLC
- College Park Ancillary, LLC
- College Park Endoscopy Center, LLC
- 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.
All providers in Overland Park, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.