Organization · Type 2 NPI

Optum Medical Group PA

Family Medicine Physician · Overland Park, KS

NPI number 1063143907 Active

Practice location

6860 W 115th St
Overland Park, KS 66211-2457

Call (913) 253-0601 Map

Mailing address

PO Box 204783
Dallas, TX 75320-4783

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

16 other providers at this address

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About NPI 1063143907

Optum Medical Group PA's National Provider Identifier is 1063143907, issued on Jun 21, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Overland Park, KS. The record was last updated on Oct 14, 2026.