WICHITA ORTHOPAEDIC ASC LLC (NPI# 1083686208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083686208 |
| Entity Type | Organization |
| Organization Name | WICHITA ORTHOPAEDIC ASC LLC |
| Other Organization Name | SURGERY CENTER OF KANSAS |
| Practice Address |
7550 West Village Circle Suite B Wichita KS 67205 |
| Practice Telephone | 3168388388 |
| Practice Fax Number | 3168382999 |
| Mailing Telephone | 3168388388 |
| Mailing Fax Number | 3168382999 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2013-03-12 |
| Authorized Official Name | PHILLIP A CLENDENIN (PRESIDENT) |
| Authorized Official Telephone | 6156651283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
S087006 | KS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100304010 | 05 |
| Other Name | Type Code |
|---|---|
| Surgery Center of Kansas | Doing Business As Name - Organization |
| Street Address |
7550 WEST VILLAGE CIRCLE SUITE B |
| City | WICHITA |
| State | KS |
| Zip Code | 67205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467438754 | Alicia A Wells | Physical Therapist | 7550 West Village Circle, Suite 1, Wichita, KS 67205 | 2005-12-19 |
| 1649668914 | Mark J. Vail | Physician Assistant | 7550 West Village Circle, Ste. 1, Wichita, KS 67205 | 2015-01-08 |
| 1114327566 | Brandi Jo Snell | Physician Assistant | 7550 West Village Circle, Ste. 1, Wichita, KS 67205 | 2014-09-03 |
| 1487899852 | Shawn Robert Morrow | Orthopaedic Surgery | 7550 West Village Circle, Ste. 1, Wichita, KS 67205 | 2008-12-12 |
| 1639335490 | Steven Thomas Ericksen | Orthopaedic Surgery | 7550 West Village Circle, Ste. 1, Wichita, KS 67205 | 2008-07-31 |
| 1962411348 | Leslie Alison Schrandt | Occupational Therapist | 7550 West Village Circle, Suite 1, Wichita, KS 67205 | 2006-08-05 |
| 1023088200 | Christopher D Miller | Orthopaedic Surgery | 7550 West Village Circle, Suite 1, Wichita, KS 67205 | 2006-01-23 |
| 1881664068 | Steven J. Howell | Orthopaedic Surgery | 7550 West Village Circle, Suite 1, Wichita, KS 67205 | 2006-01-23 |
| 1912987520 | Prince Chan | Orthopaedic Surgery | 7550 West Village Circle, Suite 1, Wichita, KS 67205 | 2006-01-19 |
| 1154301760 | James Gluck | Orthopaedic Surgery | 7550 West Village Circle, Suite 1, Wichita, KS 67205 | 2006-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295211910 | Emily M Chastain | Dentist | 3213 N. Ridge Rd, Wichita, KS 67205 | 2018-07-16 |
| 1811415466 | Awaken Psychology LLC | Clinic/Center | 2552 N Maize Ct Suite 600, Wichita, KS 67205 | 2017-09-05 |
| 1962940288 | Moc Wichita LLC | Assisted Living Facility | 7057 W Village Circle, Wichita, KS 67205 | 2017-02-07 |
| 1003362732 | Moc Wichita, LLC | Assisted Living Facility | 7057 West Village Circle, Wichita, KS 67205 | 2016-09-01 |
| 1649637653 | Abigail Friend | Audiologist-Hearing Aid Fitter | 2558 Lake Way Circle, Wichita, KS 67205 | 2016-01-21 |
| 1134505399 | Myles Davidson | Dentist | 3510 N Ridge Rd Ste 500, Wichita, KS 67205 | 2015-08-10 |
| 1093121097 | The Eye Gallery, LLC | Optometrist | 3084 N. Maize Rd, Wichita, KS 67205 | 2014-07-10 |
| 1922428721 | Sam's West, Inc. | Technician/Technologist | 3084 N. Maize Road, Witchita, KS 67205 | 2014-04-18 |
| 1447693627 | Caryn Rana Landreth | Social Worker | 3114 N Brush Creek St, Wichita, KS 67205 | 2013-04-08 |
| 1902182686 | Return To Motion Medical | Durable Medical Equipment & Medical Supplies | 3221 N Ridge Port Circle, Wichita, KS 67205 | 2011-10-26 |
| Find all providers in zip 67205 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1396238010 | Wichita Nephrology Group, Pa | Clinic/Center | 2122 N Garnett St, Wichita, KS 67206-3023 | 2018-06-07 |
| 1457757346 | South Wind Women's Centter, LLC | Clinic/Center | 5701 E Kellogg Drive, Wichita, KS 67218 | 2014-11-05 |
| 1811262363 | Precision Surgery Center, LLC | Clinic/Center | 1857 N. Webb Road, Wichita, KS 67206 | 2012-03-16 |
| 1356488837 | Ridgewood Surgery and Endoscopy Center LLC | Clinic/Center | 4013 North Ridge Road, Wichita, KS 67205-8822 | 2007-01-31 |
| 1205862984 | Endoscopic Services, P.a. | Clinic/Center | 1431 Bluffview St Ste 215, Wichita, KS 67218-3039 | 2006-06-24 |
| 1659327245 | Cosmetic & Reconstructive Surgery Center, Pa | Clinic/Center | 1700 N Waterfront Pkwy, Building 200, Wichita, KS 67206-6614 | 2006-05-25 |
| 1073581880 | Ambulatory Surgery Center Lp | Clinic/Center | 818 N Emporia, Ste 108, Wichita, KS 67214 | 2006-03-08 |
| 1295119584 | Wichita Asc Lp | Clinic/Center | 3555 North Webb Rd., Suite B, Wichita, KS 67226 | 2015-07-16 |
| 1336547421 | Associated Eye Surgical Center LLC | Clinic/Center | 1100 N Topeka St, Wichita, KS 67214-2810 | 2014-12-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.