Active NPI
Midwest Surgical Associates, PA
- Surgery Physician
- Olathe, KS
National Provider Identifier
1215088802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100262960A | Medicaid | KS | |
| 09368018 | Other | BCBS OF KANSAS CITY | |
| CC9224 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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.