Tallgrass Surgical Center, LLC

Key facts

NPI

1225036601

Entity type

Organization (NPI type 2)

Primary specialty

Ambulatory Surgical Clinic/Center 261QA1903X

License

S089006 (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

Organization subpart

Yes

Parent organization (as reported)

TOPEKA HOSPITAL, LLC

Authorized official

Name

Stephen Petrovich

Title

Evp, General Counsel

Phone

(615) 296-3000

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

Member of 2

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

• Topeka Hospital, LLC Rehabilitation Hospital Unit · Topeka, KS · NPI 1669991675
  NPD member Member Of
• University of Kansas Hospital Authority Community/Retail Pharmacy · Kansas City, KS · NPI 1457335036
  NPD member Member Of

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Orville R Wetzel, MD Anesthesiology Physician · Topeka, KS · NPI 1689651960
  NPD (past)

Medicare Care Compare: Ambulatory surgical center

Listed as

Tallgrass Surgical Center LLC CCN 17C0001057

Medicare certification status

Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare participation

Medicare fee-for-service enrollment

Enrolled in KS

Medicare enrollment records

National Provider Directory

Part of

Topeka Hospital LLC

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 20, 2019.

{
    "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100450050A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST GUARD",
            "identifier": "509220",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "130554",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "4900569",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Debra Lynn Tangari, RN
• Melissa M Tangeman, APRN
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All providers in Topeka, KS · Ambulatory Surgical Clinic/Center in Kansas