KU MEDWEST AMBULATORY SURGERY CENTER, LLC (NPI# 1467920389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467920389 |
| Entity Type | Organization |
| Organization Name | KU MEDWEST AMBULATORY SURGERY CENTER, LLC |
| Practice Address |
10720 Nall Avenue Overland Park KS 66211 |
| Mailing Address |
7405 Renner Rd Shawnee KS 66217-9414 |
| Practice Telephone | 9135888411 |
| Mailing Telephone | 9135888403 |
| Mailing Fax Number | 9135888436 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |
| Authorized Official Name | DAVID LEE GRANTHAM (ADMINISTRATOR/CEO) |
| Authorized Official Telephone | 9135888411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| KU MedWest Ambulatory Surgery Center, LLC | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7405 Renner Rd, Shawnee, KS 662179414 | 9135888411 | 9135888432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619971082 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2005-06-13 |
| Street Address |
10720 NALL AVENUE |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 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 |
| 1548585235 | Holly C Lang | Physical Therapist | 10730 Nall Ave Ste 204, Overland Park, KS 66211 | 2010-04-06 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1508203241 | College Park Ancillary, LLC | Clinic/Center | 10600 Mastin St, Overland Park, KS 66212-5723 | 2013-06-03 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66211 |
Please comment or provide details below to improve the information on KU MEDWEST AMBULATORY SURGERY CENTER, LLC.
| 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.