Gregory E Chambon, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0425181 Issued in KS

Practice address

15101 Glenwood Ave
Stanley, KS 66223-3154

Phone

(913) 681-8866

Fax

(913) 338-1311

NPI assigned

Sep 30, 2005

Last updated

Dec 31, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• College Park Family Care Center PA

  • Family Medicine Physician
  • Overland Park, KS
  • NPI 1740248772
  NPD
• College Park Family Care Center, P.a.

  • Radiology Clinic/Center
  • Overland Park, KS
  • NPI 1881803229
  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1861489205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741331",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741331",
            "telephone_number": "913-469-0503",
            "fax_number": "913-469-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15101 GLENWOOD AVE",
            "city": "STANLEY",
            "state": "KS",
            "postal_code": "662233154",
            "telephone_number": "913-681-8866",
            "fax_number": "913-338-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBON",
        "first_name": "GREGORY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0425181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Blake
• Blue Valley Dental Care PA
• Mollyanne Elizabeth Gibson Brunkow, MD
• Tyler Downs, MS, RDN
• Jenna Beth Kawase Eshcol, M.D.
• Mitzi M Groves, DO
• Robert E Gunnoe, M.D.
• Amy Lynn Hartwigsen, PTA

• Family Medicine Physician in Stanley, KS
• Providers in Stanley, 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 Dec 31, 2012; 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.