NPIMap

Organization Active NPI

Kansas Eye Surgery Associates, P.C.

  • Specialist
  • Latham, NY
National Provider Identifier
1093730087
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
092366 Issued in NY
Legal business name
KANSAS EYE SURGERY ASSOCIATES, P.C.
Practice address
24 Century Hill Dr
Suite 001
Latham, NY 12110-2133
Phone
(518) 690-2015
Fax
(518) 690-0353
NPI assigned
Jul 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Peter George Kansas, M.D.NPI 1366573545
Title
Owner
Phone
(518) 690-2015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 092366 NY Primary

Addresses

Primary practice location

24 Century Hill Dr
Suite 001
Latham, NY 12110-2133

Mailing address

24 Century Hill Dr
Suite 001
Latham, NY 12110-2133
Phone (518) 690-2015

Other identifiers 1

IdentifierTypeStateIssuer
02312527MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093730087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CENTURY HILL DR",
            "address_2": "SUITE 001",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102133",
            "telephone_number": "518-690-2015",
            "fax_number": "518-690-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CENTURY HILL DR",
            "address_2": "SUITE 001",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102133",
            "telephone_number": "518-690-2015",
            "fax_number": "518-690-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS EYE SURGERY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANSAS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-690-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "092366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02312527",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

  • 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.