College Park Ancillary, LLC
NPI 1508203241 · Ambulatory Surgical Clinic/Center · Overland Park, KS
College Park Ancillary, LLC is a Ambulatory Surgical Clinic/Center organization in Overland Park, KS (NPI 1508203241).
Provider details
- NPI number
- 1508203241
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Todd Carlon, Vice President(816) 508-4090
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-06-03
- Last updated
- 2013-06-04
Frequently asked questions
- What is College Park Ancillary, LLC's NPI number?
- College Park Ancillary, LLC's National Provider Identifier (NPI) is 1508203241, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is College Park Ancillary, LLC?
- College Park Ancillary, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is College Park Ancillary, LLC located?
- College Park Ancillary, LLC's practice location on file with NPPES is 10600 Mastin St, Overland Park, KS 66212-5723.
- What is College Park Ancillary, LLC's phone number?
- The practice phone number listed in the NPPES registry for College Park Ancillary, LLC is (913) 438-0868.
- Who is the authorized official for College Park Ancillary, LLC?
- The authorized official listed on College Park Ancillary, LLC's NPPES record is Todd Carlon, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is College Park Ancillary, LLC's NPI active?
- Yes — College Park Ancillary, LLC's NPI (1508203241) is active in the NPPES registry as of the last update on 2013-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.