Kansas City Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KANSAS CITY SURGERY CENTER, LLC

Practice address

7524 Antioch Rd
Overland Park, KS 66204

Phone

(913) 382-4444

NPI assigned

May 17, 2021

Last updated

Mar 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erin Malloy

Title

Authorized Official

Phone

(417) 889-2040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Kansas City Eye Clinic, P.a.

  • Ophthalmology Physician
  • Overland Park, KS
  • NPI 1063622124

  O20040813001016

  Same enrollment

Listed as

Kansas City Surgery Center LLCCCN 17C0001102

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

Tax ID family

Kansas City Eye Clinic PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kansas City Eye Clinic, P.a.

  • Ophthalmology Physician
  • Overland Park, KS
  • NPI 1063622124
  NPD tax ID

Locations

Practitioners 13

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.

• Kristin Schmid Biggerstaff, M.D.

  • Ophthalmology Physician
  • Overland Park, KS
  • NPI 1558590034
  NPD
• Dawn T Bircher, O.D.

  • Optometrist
  • Overland Park, KS
  • NPI 1235137308
  NPD
• Fred S Bodker, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Overland Park, KS
  • NPI 1417944208
  NPD
• Jonathan Andrew Eck, O.D.

  • Optometrist
  • Shawnee, KS
  • NPI 1821229949
  NPD
• Megan Haghnegahdar, MD

  • Ophthalmology Physician
  • Overland Park, KS
  • NPI 1891256285
  NPD
• Christopher S Ketcherside, MD

  • Ophthalmology Physician
  • Overland Park, KS
  • NPI 1952523334
  NPD
• Rebecca Duffy Nichols, O.D.

  • Optometrist
  • Overland Park, KS
  • NPI 1972532315
  NPD
• Stephen L Nichols, O.D.

  • Optometrist
  • Overland Park, KS
  • NPI 1568459469
  NPD
• Johann Georg Ohly, MD

  • Ophthalmology Physician
  • Overland Park, KS
  • NPI 1336348820
  NPD
• Aaron R Florkowski, MD

  • Ophthalmology Physician
  • Shawnee, KS
  • NPI 1326013251
  NPD (past)
• George R Gage, O.D.

  • Optometrist
  • Paola, KS
  • NPI 1528034741
  NPD (past)
• Angela M. Macdonald, O.D.

  • Optometrist
  • Paola, KS
  • NPI 1881894046
  NPD (past)

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1174197990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7524 ANTIOCH RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662044017",
            "telephone_number": "913-382-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7524 ANTIOCH RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66204",
            "telephone_number": "913-382-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2022-03-08",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "MALLOY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "417-889-2040"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kansas City Physical Medicine Center PA
• Kansas City Physician Partners, Inc.
• Kansas City Podiatry Associates, PA
• Kansas City Psychiatric Group
• Kansas City Psychiatry Partners LLC
• Kansas City Urology Care, P.a.
• Kansas City Vamc
• Kansas City Vascular & General Surgery Group LLC
• Kansas City Vascular & General Surgery Group LLC
• Kansas City Vascular Specialists Corp PA

• Ambulatory Surgical Clinic/Center in Overland Park, KS
• Providers in Overland Park, 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 Mar 8, 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.