| Overland Park Medical Center Llc | |
|
10520 Barkley St Ste 120 Overland Park KS 66212-1823 | |
| (816) 229-1941 | |
| (816) 229-7085 |
| Full Name | Overland Park Medical Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10520 Barkley St Ste 120, Overland Park, Kansas |
| Authorized Official Name and Position | Aston Goldsworthy (CEO/OWNER) |
| Authorized Official Contact | 8166742693 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Overland Park Medical Center Llc 8809 Se 1st St Lees Summit MO 64064-7858 Ph: (816) 674-2693 | Overland Park Medical Center Llc 10520 Barkley St Ste 120 Overland Park KS 66212-1823 Ph: (816) 229-1941 |
| NPI Number | 1457183469 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 08/19/2024 |
| Medicare PECOS PAC ID | 1254866643 |
|---|---|
| Medicare Enrollment ID | O20241121003342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457183469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QP3300X | Clinic/center - Pain | (* (Not Available)) | Primary |
| Provider Name | Aston Goldsworthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316275365 PECOS PAC ID: 6406998079 Enrollment ID: I20241122002266 |
| Provider Name | Juliet Osunka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164130779 PECOS PAC ID: 3577901743 Enrollment ID: I20241122002460 |
| Provider Name | Kristina Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609350305 PECOS PAC ID: 4981941283 Enrollment ID: I20241126004237 |
Midwest Hospital Specialists, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10901 Granada Ln, Ste. 200, Overland Park, KS 66211 Phone: 913-660-1616 Fax: 913-660-1664 | |
Millie Medical Of Kansas, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12022 Blue Valley Pkwy Ste 523, Overland Park, KS 66213 Phone: 561-476-0060 | |
Saint Lukes Physician Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8501 W 95th St, Overland Park, KS 66212 Phone: 913-323-8880 | |
Spira Innovations, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Spira Care Overland Park 7341 W. 133rd St, Overland Park, KS 66213 Phone: 191-329-7747 |