The Hutchinson Ophthalmology ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

S078002 Issued in KS

Legal business name

THE HUTCHINSON OPHTHALMOLOGY ASC LLC

Practice address

1708 E 23Rd Ave
Hutchinson, KS 67502-1114

Phone

(620) 664-5252

Fax

(620) 663-3944

NPI assigned

Feb 8, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrey E Snodgrass

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Surgery Center of South Central Kansas Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Listed as

Surgery Center of South Central KansasCCN 17C0001031

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Chan-Chou Chuang, M.D., FCCP, FACP

  • Critical Care Medicine (Internal Medicine) Physician
  • Rancho Palos Verdes, CA
  • NPI 1073589248
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1043283294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-665-1283",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 E 23RD AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021114",
            "telephone_number": "620-664-5252",
            "fax_number": "620-663-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HUTCHINSON OPHTHALMOLOGY ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "KS",
            "license": "S078002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6787139701",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Center of South Central Kansas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surgery Center of South Central Kansas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Faith Carol Tello, LPC
• Abby Leigh Terry, FNP-C
• Kailey P Thach, DPT
• The Dialysis Center of Hutchinson, LLC
• The Evangelical Lutheran Good Samaritan Society
• The Kroger Co
• The Kroger Co
• The Kroger Co
• Deborah A Theis, LSCSW
• Jerod William Theis, PHARMD

• Ambulatory Surgical Clinic/Center in Hutchinson, KS
• Providers in Hutchinson, 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 Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.