KU MEDWEST AMBULATORY SURGERY CENTER, LLC (NPI# 1619971082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619971082 |
| Entity Type | Organization |
| Organization Name | KU MEDWEST AMBULATORY SURGERY CENTER, LLC |
| Practice Address |
7405 Renner Rd Shawnee KS 66217-9414 |
| Practice Telephone | 9135888411 |
| Practice Fax Number | 9135888432 |
| Mailing Telephone | 9135888411 |
| Mailing Fax Number | 9135888432 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2009-06-25 |
| Authorized Official Name | MR. DAVID L GRANTHAM (ADMINISTRATOR) |
| Authorized Official Telephone | 9135888403 |
| Authorized Official Credential | RN, BSN, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
S-046-011 | KS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100458080A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| Street Address |
7405 RENNER RD |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66217-9414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164037925 | Kailey Spero | Physical Therapist | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2020-09-09 |
| 1801435052 | Rebecca Elizabeth Holt | Family Medicine | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2020-01-04 |
| 1407322860 | Taylor Conrad | Dietitian, Registered | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2018-10-23 |
| 1639667041 | Dayna Grace Campbell | Nurse Practitioner | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2018-05-01 |
| 1528572286 | Mary Therese Sydzyik | Physical Therapist | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2017-11-16 |
| 1306376892 | Emily Marie O'laughlin | Physical Therapist | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2017-06-15 |
| 1851848352 | Jenna Koepke | Nurse Practitioner | 7405 Renner Rd, Shawnee, KS 66217 | 2016-09-01 |
| 1164870093 | Traci Smiley | Physical Therapist | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2016-06-01 |
| 1255709580 | Madison Dahl | Dietitian, Registered | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2015-09-03 |
| 1043691363 | Daniel Jacob Love | Nurse Practitioner | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2015-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438801 | Hope Bazille | Behavioral Analyst | 17210 Midland Dr, Shawnee, KS 66217 | 2019-03-29 |
| 1023574126 | Andrea Corrales | Behavioral Analyst | 17210 Midland Drive, Shawnee, KS 66217 | 2019-02-13 |
| 1164824744 | Amy M Brettman | Internal Medicine | 7230 Renner Road, Shawnee, KS 66217 | 2014-09-25 |
| 1811232622 | U.S. Pt Therapy Services Inc. | Physical Therapist | 7448 West Frontage Road, Merriam, KS 66217 | 2012-12-05 |
| 1508179193 | Capstone Dentistry, LLC | Clinic/Center | 17212 Midland Dr, Shawnee, KS 66217 | 2010-07-23 |
| 1417014010 | Jo Jeanne Callaway | Psychiatry & Neurology | 5400 Lackman Road, Shawnee, KS 66217 | 2007-01-02 |
| 1316009111 | Eye Associates of Shawnee Pa | Optometrist | 15951 W 65th St, Shawnee, KS 66217 | 2006-12-15 |
| 1255492633 | Stephanie Lynn Caldwell | Physician Assistant | 7405 Renner Road, Shawnee, KS 66217 | 2006-12-12 |
| 1215029392 | George J Bures Jr. | Family Medicine | 7255 Renner Rd., Shawnee, KS 66217 | 2006-09-28 |
| 1790719276 | Minnie J Baldridge | Audiologist | 15939 W 65th St, Shawnee, KS 66217 | 2006-07-10 |
| Find all providers in zip 66217 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588644520 | Westglen Endoscopy Center LLC | Clinic/Center | 16663 Midland Dr, Suite 200, Shawnee, KS 66217-3042 | 2006-01-17 |
| 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 |
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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.