Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

College Park Ancillary, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1508203241

College Park Ancillary, LLC is an Ambulatory Surgical Clinic/Center in Overland Park, Kansas. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10600 Mastin St
Overland Park, KS 66212-5723
Phone: (913) 438-0868
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1508203241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Carlon — Vice President · (816) 508-4090
NPI enumeratedJune 3, 2013
Last updated in NPPESJune 4, 2013
Mailing address11755 W 112th St, Suite 202, Overland Park, KS 66210-2742

Other providers in Overland Park