College Park Family Care Center, P.a.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

COLLEGE PARK FAMILY CARE CENTER, P.A.

Practice address

12200 W 106TH St
Ste 235
Overland Park, KS 66215-2300

Phone

(913) 492-8686

Fax

(913) 338-1311

NPI assigned

May 22, 2007

Last updated

Aug 22, 2020By 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 Chambers

Title

Administrator

Phone

(913) 469-0503

Specialties & licenses 1

Addresses

Other names 1

• Cardiology Imaging Other name

Tax ID family

College Park Family Care Center PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• College Park Family Care Center, P.a.

  • Urgent Care Clinic/Center
  • Overland Park, KS
  • NPI 1952515041
  NPD tax ID
• Cpfcc Mur-Len

  • Family Medicine Physician
  • Olathe, KS
  • NPI 1891010039
  NPD tax ID

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780894741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 W 112TH ST",
            "address_2": "STE 203",
            "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": "12200 W 106TH ST",
            "address_2": "STE 235",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152300",
            "telephone_number": "913-492-8686",
            "fax_number": "913-338-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE PARK FAMILY CARE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "913-469-0503"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiology Imaging",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• 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 PA
• 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 Physical Therapy
• College Park Radiology, LLC

• Cardiovascular Disease Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Cardiovascular Disease Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.