Tallgrass Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

S089006 Issued in KS

Legal business name

TALLGRASS SURGICAL CENTER, LLC

Practice address

6001 SW 6TH Ave
Suite 100
Topeka, KS 66615-1011

Phone

(785) 272-8807

Fax

(785) 228-4733

NPI assigned

Jul 11, 2005

Last updated

Jun 20, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

TOPEKA HOSPITAL, LLCAs reported in NPPES

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

Authorized official

Name

Stephen Petrovich

Title

Evp, General Counsel

Phone

(615) 296-3000

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Listed as

Tallgrass Surgical Center LLCCCN 17C0001057

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

Part of

Topeka Hospital LLC

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Topeka Hospital, LLC

  dba The University of Kansas Health System, St. Francis Campus

  • Rehabilitation Hospital Unit
  • Topeka, KS
  • NPI 1669991675

  Member Of

  NPD member
• University of Kansas Hospital Authority

  dba Ku Dental Associates

  • Dentist
  • Westwood, KS
  • NPI 1295845758

  Member Of

  NPD member

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Topeka Hospital, LLC

  dba The University of Kansas Health System St. Francis Campus

  • Internal Medicine Physician
  • Topeka, KS
  • NPI 1831604107
  NPPES parent name

Practitioners 1

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.

• Orville R Wetzel, MD

  • Anesthesiology Physician
  • Topeka, KS
  • NPI 1689651960
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1225036601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 SW 6TH AVE",
            "address_2": "SUITE 100",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666151011",
            "telephone_number": "785-272-8807",
            "fax_number": "785-228-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 SW 6TH AVE",
            "address_2": "SUITE 100",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666151011",
            "telephone_number": "785-272-8807",
            "fax_number": "785-228-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLGRASS SURGICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOPEKA HOSPITAL, LLC",
        "enumeration_date": "2005-07-11",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "PETROVICH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "EVP, GENERAL COUNSEL",
        "authorized_official_telephone_number": "615-296-3000"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "KS",
            "license": "S089006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "4900569",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "130554",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST GUARD",
            "identifier": "509220",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100450050A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tallgrass Orthopedic& Sports Medicine LLC
• Tallgrass Prairie Surgical Specialist PA
• Tallgrass Prairie Surgical Specialist PA (Tallgrass Orthopedic and Sports Medicine)
• Tallgrass Prairie Surgical Specialists PA
• Tallgrass Prairie Surgical Specialists, PA (Tallgrass Balance & Hearing Center)
• Auriel A Tan, MD
• Jakica Tancabelic, M.D.
• Debra Lynn Tangari, RN
• Melissa M Tangeman, APRN
• Dan Tangpricha, DC

• Ambulatory Surgical Clinic/Center in Topeka, KS
• Providers in Topeka, 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 Jun 20, 2019; 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.