COLLEGE PARK FAMILY CARE CENTER PHYSICIANS GROUP
NPI 1366607764
Family Medicine in Olathe, KS

Q: What is Overland Park Surgical Specialties, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 24, 2008CLIA 17D2023632 · Waiver

11164 S NOBLE DR, OLATHE, KS 66061(913) 829-2440(913) 338-1311 Get Directions Write a Review

NPPES record last updated: December 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About College Park Family Care Center Physicians Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLEGE PARK FAMILY CARE CENTER PHYSICIANS GROUP (NPI 1366607764) is a healthcare organization registered as a family medicine in Olathe, Kansas and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through June 14, 2027 and lists Chuck Chambers, Administrator, as its authorized official.

NPPES Registry Identity

NPI1366607764

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameOVERLAND PARK SURGICAL SPECIALTIES, LLC

Location Address11164 S NOBLE DROlathe, KS 66061-7528

Mailing AddressPo Box 741331Atlanta, GA 30374-1331 · (913) 428-1500

Phone(913) 829-2440

Fax(913) 338-1311

Organization SubpartNo

Authorized OfficialChuck ChambersAdministrator · (913) 469-0503

Enumeration DateJuly 24, 2008

Last NPPES UpdateDecember 7, 2016

✔ NPI 1366607764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11164 S NOBLE DR, Olathe, KS 66061

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Other Names 1

Doing Business AsCollege Park Family Care Center Physicians Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2023632

College Park Family Care Center Olathe Northwest · Olathe, KS

Active · expires Jun 14, 2027

CLIA Number17D2023632

Laboratory TypePhysician Office

Certificate Effective DateJune 15, 2025

Certificate Expiration DateJune 14, 2027

Laboratory DirectorBradley Craemer

Laboratory Phone(913) 829-2440

Laboratory LocationCollege Park Family Care Center Olathe Northwest11164 Noble Drive, Olathe, KS 66061

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIEL J BEDNARCZYK DDS

Dentist (General Practice)