OrganizationActive
College Park Family Care Center, P.A.
NPI 1861415846 · Ambulatory Surgical Clinic/Center · Overland Park, KS
Provider details
- NPI number
- 1861415846
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Chambers, Administrator(913) 469-0503
- License
- S-046-007 (KS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
11725 W 112th St
Overland Park, KS 66210-2761
Phone: (913) 469-5579
Fax: (913) 338-1311
Street-level locationGet directions
Mailing address
11725 W 112th St
Overland Park, KS 66210-2761
Other names (DBA / former)
- Other name
- Ambulatory Surgical Center
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2007-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.