NPIMap

Organization Active NPI

Northwest Kansas Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Hays, KS
National Provider Identifier
1275501512
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
S026001 Issued in KS
Legal business name
NORTHWEST KANSAS SURGERY CENTER, LLC
Practice address
1904 E 29TH Street
Hays, KS 67601-2008
Phone
(785) 650-0600
Fax
(785) 650-0143
NPI assigned
Mar 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Authorized official

Name
Dr. Ronald Ray Holweger, M.D.
Title
Medical Director
Phone
(785) 650-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X S026001 KS Primary

Addresses

Primary practice location

1904 E 29TH Street
Hays, KS 67601-2008

Mailing address

1904 E 29TH Street
Hays, KS 67601-2008
Phone (785) 650-0600

Other identifiers 2

IdentifierTypeStateIssuer
100381600AMedicaidKS
112208OtherKSBCBS

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Northwest Kansas Surgery CenterCCN 17C0001049
Medicare certification status
Terminated Voluntary: merger or closure, Dec 30, 2024From the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1904 E 29th St
Hays, KS 67601
Phone (785) 305-1594

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383177600000",
    "number": "1275501512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 E 29TH STREET",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012008",
            "telephone_number": "785-650-0600",
            "fax_number": "785-650-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 E 29TH STREET",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012008",
            "telephone_number": "785-650-0600",
            "fax_number": "785-650-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST KANSAS SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-11",
        "last_updated": "2013-10-31",
        "status": "A",
        "authorized_official_last_name": "HOLWEGER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "785-650-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "KS",
            "license": "S026001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100381600A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "112208",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.