Surgery Center of Dodge City, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

S029001 Issued in KS

Legal business name

SURGERY CENTER OF DODGE CITY, LLC

Practice address

2203 Summerlon Cir
Dodge City, KS 67801-2985

Phone

(620) 408-9454

Fax

(620) 408-9552

NPI assigned

Jul 8, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Dina Lane, BSN

Title

Administrator

Phone

(620) 408-9454

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Cataract & Laser Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Dedham, MA
  • NPI 1205917101

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mirza Ahmad, MD

  • Surgery Physician
  • Dodge City, KS
  • NPI 1942281506
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013915685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 SUMMERLON CIR",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012985",
            "telephone_number": "620-408-9454",
            "fax_number": "620-408-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 SUMMERLON CIR",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012985",
            "telephone_number": "620-408-9454",
            "fax_number": "620-408-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF DODGE CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "620-408-9454",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "KS",
            "license": "S029001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Kate Stephenson
• Stepping Up Mental Health
• Ashley Nicole Stritt
• Teresa Jo Stuart, LSCSW, LCAC
• Frank Benito Sumaya, MSW
• Karime A Talavera
• Ashley D Taylor, RD
• The Evangelical Lutheran Good Samaritan Society
• Nancy L Thomas, MSW
• Syble Thompson

• Ambulatory Surgical Clinic/Center in Dodge City, KS
• Providers in Dodge City, KS by specialty
• Ambulatory Surgical Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.