Organization Active NPI

Midwest Surgical Associates, PA

  • Surgery Physician
  • Olathe, KS
National Provider Identifier
1215088802
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MIDWEST SURGICAL ASSOCIATES, PA
Practice address
20375 W 151St St
Suite 463
Olathe, KS 66061-7218
Phone
(913) 782-8577
Fax
(913) 782-2616
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Leann Pendleton
Title
Manager
Phone
(913) 782-8577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

20375 W 151St St
Suite 463
Olathe, KS 66061-7218

Mailing address

20375 W 151St St
Suite 463
Olathe, KS 66061-7218
Phone (913) 782-8577

Other identifiers 3

IdentifierTypeStateIssuer
100262960AMedicaidKS
09368018OtherBCBS OF KANSAS CITY
CC9224OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

18320 S Center St
Gardner, KS 66030
Phone (913) 856-5577

23450 College Blvd
Olathe, KS 66061
Phone (913) 355-7788

100 E Main St
Osawatomie, KS 66064
Phone (913) 755-3044

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1215088802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20375 W 151ST ST",
            "address_2": "SUITE 463",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617218",
            "telephone_number": "913-782-8577",
            "fax_number": "913-782-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20375 W 151ST ST",
            "address_2": "SUITE 463",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617218",
            "telephone_number": "913-782-8577",
            "fax_number": "913-782-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SURGICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "PENDLETON",
        "authorized_official_first_name": "LEANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "913-782-8577"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100262960A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY",
            "identifier": "09368018",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC9224",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.