Active NPI
Wichita Orthopaedic ASC LLC
Doing business as Surgery Center of Kansas
- Ambulatory Surgical Clinic/Center
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- S087006
- Legal business name
- WICHITA ORTHOPAEDIC ASC LLC
- Doing business as
- Surgery Center of Kansas
- Practice address
- 7550 West Village Circle
Suite B
Wichita, KS 67205 - Phone
- (316) 838-8388
- Fax
- (316) 838-2999
- NPI assigned
- Feb 2, 2006
- Last updated
- Nov 23, 2022
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | S087006 | KS | Primary |
Addresses
Primary practice location
7550 West Village Circle
Suite B
Wichita, KS 67205
Mailing address
1A Burton Hills Blvd # L&C
Nashville, TN 37215-6187
Phone (615) 665-1283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100304010 | Medicaid | KS |
Other names 1
- Surgery Center of Kansas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041025000479 | KS | Part B Supplier - Ambulatory Surgical Center | 7416918255 | Practice locations: Wichita, KS |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Surgery Center of Kansas
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D0924332 | Surgery Center of Kansas | Certificate of waiver | Jan 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
1507 W 21st St N
#3
Wichita, KS 67203
Phone (316) 838-8388
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Wichita, KS
- NPI 1982018693
-
- Orthopaedic Hand Surgery Physician
- Wichita, KS
- NPI 1588012868
-
- Pediatric Orthopaedic Surgery Physician
- Bethesda, MD
- NPI 1194715805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669161600000",
"number": "1083686208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1A BURTON HILLS BLVD # L&C",
"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": "7550 WEST VILLAGE CIRCLE",
"address_2": "SUITE B",
"city": "WICHITA",
"state": "KS",
"postal_code": "67205",
"telephone_number": "316-838-8388",
"fax_number": "316-838-2999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WICHITA ORTHOPAEDIC ASC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-02",
"last_updated": "2022-11-23",
"certification_date": "2022-11-23",
"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": "S087006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100304010",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Surgery Center of Kansas",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Surgery Center of Kansas",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.