PHYSICIANS' SURGERY CENTER LLC NPI 1770581829

NPI Information

NPI: 1770581829
Provider Name: PHYSICIANS' SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 17D0975560

Address:
3840 W 75TH ST
PRAIRIE VILLAGE, KS
ZIP 66208
Phone: (913) 384-9600
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PHYSICIANS' SURGERY CENTER, LLC is an ambulatory surgical clinic center in Prairie Village, KS. PHYSICIANS' SURGERY CENTER, LLC NPI is 1770581829. The provider is registered as an organization entity type.

The provider's business location address is:

3840 W 75TH ST
PRAIRIE VILLAGE, KS
ZIP 66208-126
Phone: (913) 384-9600
Fax: (913) 384-9646

The provider's authorized official is Marc M Whitacre .
The authorized official title is Ceo and has the following contact phone number (913) 384-9600.

The CLIA number assigned to this NPI record is 17D0975560 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	S046015	KANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	55156	OTHER	KANSAS	HUMANA
2	27008	OTHER	KANSAS	COVENTRY HEALTHCARE OF KS
3	90910016	OTHER		BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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