Provider Demographics
NPI:1801840012
Name:OVERLAND PARK FAMILY HEALTH PARTNERS, PA
Entity Type:Organization
Organization Name:OVERLAND PARK FAMILY HEALTH PARTNERS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:ZIRJACKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-894-6500
Mailing Address - Street 1:6740 W 121ST ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66209-2002
Mailing Address - Country:US
Mailing Address - Phone:913-894-6500
Mailing Address - Fax:913-894-6001
Practice Address - Street 1:6740 W 121ST ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66209-2002
Practice Address - Country:US
Practice Address - Phone:913-894-6500
Practice Address - Fax:913-894-6001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty