SOUTH KANSAS CITY SURGICAL CENTER (NPI# 1114924685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114924685 |
| Entity Type | Organization |
| Organization Name | SOUTH KANSAS CITY SURGICAL CENTER |
| Other Organization Name | SOUTH KANSAS CITY SURGICENTER |
| Practice Address |
10730 Nall Ave Suite 100 Overland Park KS 66211-1206 |
| Practice Telephone | 9139019000 |
| Practice Fax Number | 9139019030 |
| Mailing Telephone | 9139019000 |
| Mailing Fax Number | 9139019030 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2007-09-19 |
| Authorized Official Name | MS. JOYCE I. SWENSON (ADMINISTRATOR) |
| Authorized Official Telephone | 9139019000 |
| Authorized Official Credential | RN, MA, CASC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
S046019 | KS | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| South Kansas City Surgicenter | Doing Business As Name - Organization |
| Street Address |
10730 NALL AVE SUITE 100 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851066 | Brian L Mccroskey | Surgery | 10730 Nall Ave, Ste 101, Overland Park, KS 66211-1242 | 2005-06-20 |
| 1114465457 | Elizabeth Bertschy | Nurse Practitioner | 10730 Nall Ave, Suite 101, Overland Park, KS 66211-1366 | 2017-02-07 |
| 1215489034 | Shannon Zolla | Specialist/Technologist | 10730 Nall Ave, Overland Park, KS 66211-1366 | 2016-10-27 |
| 1265816755 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 10730 Nall Ave, Suite 100, Overland Park, KS 66211-1366 | 2015-07-14 |
| 1225435464 | Ryan Sloop | Specialist/Technologist | 10730 Nall Ave, Suite 200, Overland Park, KS 66211-1366 | 2014-12-03 |
| 1285031476 | Briana Fugitt | Point of Service | 10730 Nall Ave, Suite 200, Overland Park, KS 66211-1366 | 2014-12-03 |
| 1336546555 | Suzanna Butz | Point of Service | 10730 Nall Ave, 200, Overland Park, KS 66211-1366 | 2014-12-03 |
| 1629319363 | Jennifer Dawn Sherrick | Nurse Practitioner | 10730 Nall Ave, Ste 101, Overland Park, KS 66211-1366 | 2013-03-05 |
| 1063758191 | Physicians Reference Laboratory LLC | Pathology | 10730 Nall Ave, Ste 100, Overland Park, KS 66211-1366 | 2012-12-18 |
| 1174867998 | Matthew Blair Way | Specialist/Technologist | 10730 Nall Ave, Suite 200, Overland Park, KS 66211-1366 | 2012-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 1104993385 | Surgery Center of Blue Valley, Inc | Clinic/Center | 7230 West 129th Street, Overland Park, KS 66213-2624 | 2006-11-30 |
| 1831283324 | Ambulatory Surgery Center of Kc, Inc | Clinic/Center | 9385 W. 75th St., Overland Park, KS 66204 | 2006-10-02 |
| 1659473924 | Mid-america Surgery Institute LLC | Clinic/Center | 5525 West 119th Street, Suite 100, Overland Park, KS 66209 | 2006-09-05 |
| 1528099207 | Deer Creek Surgery Center, LLC | Clinic/Center | 7220 W 129th Street, Overland Park, KS 66213 | 2006-07-05 |
| 1275596314 | Johnson County Surgery Center, L.p. | Clinic/Center | 8800 Ballentine St, Overland Park, KS 66214-1900 | 2006-04-10 |
| 1629510326 | College Park Endoscopy Center, LLC | Clinic/Center | 10787 Nall Ave, Suite 100, Overland Park, KS 66211-1375 | 2016-11-11 |
| 1215388632 | Motus Biologics and Sports Medicine LLC | Clinic/Center | 5525 W 119th St, Ste 250, Overland Park, KS 66209-3724 | 2016-06-27 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66211 |
Please comment or provide details below to improve the information on SOUTH KANSAS CITY SURGICAL CENTER.
| 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.