NPIMap

Organization Active NPI

Surgical Services, P.a.

Doing business as Surgical Services P.C.

  • Specialist
  • Lee's Summit, MO
National Provider Identifier
1184762270
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
R8174 Issued in MO
Legal business name
SURGICAL SERVICES, P.A.
Doing business as
Surgical Services P.C.
Practice address
1741 NE Douglas St
Suite 102
Lees Summit, MO 64086-4703
Phone
(816) 554-9955
Fax
(816) 554-6451
NPI assigned
Feb 2, 2007
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. Norman Mutchnick, M.D.
Title
President
Phone
(816) 554-9955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X R8174 MO Primary

Addresses

Primary practice location

1741 NE Douglas St
Suite 102
Lees Summit, MO 64086-4703

Mailing address

1741 NE Douglas St
Suite 102
Lees Summit, MO 64086-4703
Phone (816) 554-9955

Other names 1

  • Surgical Services P.C. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184762270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 NE DOUGLAS ST",
            "address_2": "SUITE 102",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864703",
            "telephone_number": "816-554-9955",
            "fax_number": "816-554-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 NE DOUGLAS ST",
            "address_2": "SUITE 102",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864703",
            "telephone_number": "816-554-9955",
            "fax_number": "816-554-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUTCHNICK",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-554-9955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "R8174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Services P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lee's Summit, MO

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.