FREEMAN SURGICAL CENTER OF PITTSBURG, LLC (NPI# 1881089076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881089076 |
| Entity Type | Organization |
| Organization Name | FREEMAN SURGICAL CENTER OF PITTSBURG, LLC |
| Practice Address |
100 N Pine St Pittsburg KS 66762-4756 |
| Mailing Address |
1102 W 32nd St Joplin MO 64804-3503 |
| Practice Telephone | 6202313750 |
| Mailing Telephone | 4173471111 |
| Mailing Fax Number | 4173472149 |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |
| Authorized Official Name | STEVEN W GRADDY (CFO) |
| Authorized Official Telephone | 4173476678 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FREEMAN SURGICAL CENTER OF PITTSBURG, LLC | 100 N Pine St, Pittsburg, KS 66762-4756 |
| Street Address |
100 N PINE ST |
| City | PITTSBURG |
| State | KS |
| Zip Code | 66762-4756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255767240 | Cody Garrett Ramsey | Specialist/Technologist | 100 N Pine St, Po Box, Pittsburg, KS 66762-4756 | 2013-09-23 |
| 1700123437 | Adrian Lynn Dunn | Nurse Anesthetist, Certified Registered | 100 N Pine St, Pittsburg, KS 66762-4756 | 2013-01-15 |
| 1104062199 | New Century Orthopedic & Sports Medicine LLC | Orthopaedic Surgery | 100 N Pine St, Pittsburg, KS 66762-4744 | 2008-12-23 |
| 1477625390 | Century Surgical Associates, Inc | Clinic/Center | 100 N Pine St, Pittsburg, KS 66762-4744 | 2006-11-15 |
| 1679663520 | Michael P Zafuta | Orthopaedic Surgery | 100 N Pine St, Pittsburg, KS 66762-4744 | 2006-10-13 |
| 1669564787 | Aaron D Shaw | Nurse Practitioner | 100 N Pine St, Pittsburg, KS 66762-4744 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172250 | Mallory Kate Revell | Student in an Organized Health Care Education/Training Program | 1701 S Broadway S, Irene Ransom Bradley School of Nursing, Psu, Pittsburg, KS 66762 | 2020-07-28 |
| 1245849967 | Shelbie Cosby | Student in an Organized Health Care Education/Training Program | 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 | 2020-07-28 |
| 1679103642 | Jessica Crager | Nurse Practitioner | 2401 S Tucker Terr, Ste 1, Pittsburg, KS 66762 | 2020-01-18 |
| 1376198226 | Apollo Services Inc | Durable Medical Equipment & Medical Supplies | 2505 S Springdale, Pittsburg, KS 66762 | 2019-08-07 |
| 1851885719 | Chelsea Duncan | Social Worker | 911 E Centennial, Pittsburg, KS 66762 | 2018-06-14 |
| 1902395858 | Alexandria Winter | Specialist/Technologist | 1701 S Homer Street, Pittsburg, KS 66762 | 2018-05-07 |
| 1811419633 | Troy Richard Quenzer | Specialist/Technologist | 1701 S Homer St, 213 Weede Phys Ed Bldg, Pittsburg, KS 66762 | 2017-07-13 |
| 1356727002 | John Klodt | Social Worker | 902 E Centennial Dr Apt 13a, Pittsburg, KS 66762 | 2015-08-05 |
| 1295120533 | Christine E. Conner | Nurse Practitioner | 1 Mt. Carmel Way, 2nd Floor, East, Pittsburg, KS 66762 | 2015-04-03 |
| 1700278983 | Performance Spine & Sport LLC | Chiropractor | 2597 S. Broadway Suite A, Pittsburg, KS 66762 | 2015-02-25 |
| Find all providers in zip 66762 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710234455 | Pittsburg Cataract Center Pa | Clinic/Center | 1602 N Broadway St, Pittsburg, KS 66762-3022 | 2012-08-13 |
| 1477625390 | Century Surgical Associates, Inc | Clinic/Center | 100 N Pine St, Pittsburg, KS 66762-4744 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1770147217 | Andover Ambulatory Surgery Center, LLC | Clinic/Center | 1124 W 21st St Ste 100, Andover, KS 67002-5500 | 2019-04-30 |
| 1255896676 | Ascentist Asc Merriam, LLC | Clinic/Center | 6815 Frontage Rd Ste B, Merriam, KS 66204-1291 | 2019-02-11 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1396238010 | Wichita Nephrology Group, Pa | Clinic/Center | 2122 N Garnett St, Wichita, KS 67206-3023 | 2018-06-07 |
| 1689173981 | Mao Leawood Surgery Center LLC | Clinic/Center | 4940 W 137th Street, Leawood, KS 66224 | 2018-02-02 |
| 1740794973 | Epic Asc, LLC | Clinic/Center | 11261 Nall Ave Ste 200, Leawood, KS 66211-1669 | 2017-11-27 |
| 1801323191 | Ns Surgical Center LLC | Clinic/Center | 10 E Cambridge Circle Dr Ste 150, Kansas City, KS 66103-1393 | 2017-05-17 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1316470354 | Manhattan Specialists Center LLC | Clinic/Center | 202 Research Dr, Manhattan, KS 66503-3049 | 2017-04-06 |
| Find all providers with the same taxonomy | ||||
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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.