COLLEGE PARK FAMILY CARE CENTER PHYSICIANS GROUP
NPI 1730345885
Family Medicine in Overland Park, 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 29, 2008CLIA 17D1082539 · Waiver

11725 W 112TH ST, OVERLAND PARK, KS 66210(913) 469-5579(913) 338-1311 Get Directions Write a Review

NPPES record last updated: December 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 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 1730345885) is a healthcare organization registered as a family medicine in Overland Park, Kansas and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through November 25, 2027 and lists Chuck Chambers, Administrator, as its authorized official.

NPPES Registry Identity

NPI1730345885

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameOVERLAND PARK SURGICAL SPECIALTIES, LLC

Location Address11725 W 112TH STOverland Park, KS 66210-2761

Mailing AddressPo Box 741331Atlanta, GA 30374-1331 · (913) 469-0503

Phone(913) 469-5579

Fax(913) 338-1311

Organization SubpartNo

Authorized OfficialChuck ChambersAdministrator · (913) 469-0503

Enumeration DateJuly 29, 2008

Last NPPES UpdateDecember 7, 2016

✔ NPI 1730345885 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.

11725 W 112TH ST, Overland Park, KS 66210

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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 17D1082539

College Park Family Care Center · Overland Park, KS

Active · expires Nov 25, 2027

CLIA Number17D1082539

Laboratory TypePhysician Office

Certificate Effective DateNovember 26, 2025

Certificate Expiration DateNovember 25, 2027

Laboratory DirectorMark R. Kahler

Laboratory Phone(913) 469-5579

Laboratory LocationCollege Park Family Care Center11725 West 112th Street, Overland Park, KS 66210

CLIA data matches this NPI record on: Address Name Phone

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

Other Providers at the Same Location NPPES 20

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

CHELSEA FAIR

Family Medicine