Organization Active NPI

Wichita Orthopaedic ASC LLC

Doing business as Surgery Center of Kansas

  • Ambulatory Surgical Clinic/Center
  • Wichita, KS
National Provider Identifier
1083686208
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
S087006 Issued in KS
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100304010MedicaidKS

Other names 1

  • Surgery Center of Kansas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 KansasCCN 17C0001022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0924332Surgery Center of Kansas7550 West Village Circle, Suite 2, Wichita, KS 67205Certificate of waiverJan 26, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.