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

Dr. Fred A Church, DO

Individual provider Family Medicine Physician · NPI 1215924600

Dr. Fred A Church, DO is a Family Practice in Olathe, Kansas. Qualified in 1998, 28 years ago. Practices with Overland Park Surgical Specialties LLC, a 88-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
28
Licensed in
KS
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

11164 S Noble Dr
Olathe, KS 66061-7572
Phone: (913) 829-2440
Fax: (913) 338-1311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0528541 (KS)

Record details

NPI number1215924600
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 30, 2005
Last updated in NPPESJanuary 31, 2022
Mailing addressPo Box 741331, Atlanta, GA 30374-1331

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Overland Park Surgical Specialties Llc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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