Hutchinson Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

S-078-003 Issued in KS

Legal business name

HUTCHINSON AMBULATORY SURGERY CENTER, LLC

Practice address

2205 N Waldron St
Hutchinson, KS 67502-1143

Phone

(620) 728-2700

NPI assigned

Jan 5, 2006

Last updated

Apr 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Davidson

Title

Coo

Phone

(620) 669-2500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Listed as

Hutchinson Ambulatory Surgery Center LLCCCN 17C0001055

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

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

• Hutchinson Clinic, P.a., Inc.

  • Internal Medicine Physician
  • Hutchinson, KS
  • NPI 1043298474

  Member Of

  NPD member

Locations

Practitioners 11

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.

• Nataliya Biskup

  • Plastic and Reconstructive Surgery Physician
  • Hutchinson, KS
  • NPI 1225353014
  NPD (past)
• Scott Clarke, MD

  • Surgery Physician
  • Hutchinson, KS
  • NPI 1861471963
  NPD (past)
• Chad Denison, MD

  • Ophthalmology Physician
  • Hutchinson, KS
  • NPI 1518946839
  NPD (past)
• Robert Epp, MD

  • Otolaryngology Physician
  • Hutchinson, KS
  • NPI 1669452603
  NPD (past)
• John G Fan, MD

  • Physical Medicine & Rehabilitation Physician
  • Hutchinson, KS
  • NPI 1225099203
  NPD (past)
• David Frederick Gleason, MD

  • Surgery Physician
  • Hutchinson, KS
  • NPI 1629369665
  NPD (past)
• Daniel Lee, CRNA

  • Certified Registered Nurse Anesthetist
  • Hutchinson, KS
  • NPI 1942099825
  NPD (past)
• Wade Kyle Moore

  • Certified Registered Nurse Anesthetist
  • Hutchinson, KS
  • NPI 1053107672
  NPD (past)
• Kirsten Sue Paulsrud, DPM

  • Podiatrist
  • Hutchinson, KS
  • NPI 1063677284
  NPD (past)
• John Shaw, MD

  • Surgery Physician
  • Hutchinson, KS
  • NPI 1952374233
  NPD (past)
• Matthew Scott Voorman, M.D.

  • Otolaryngology Physician
  • Hutchinson, KS
  • NPI 1972828713
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1295713568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021143",
            "telephone_number": "620-728-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUTCHINSON AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "620-669-2500"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "KS",
            "license": "S-078-003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100419910 A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel F Hurst, D.C.
• Gigi Renee Hurst, DC
• Emily Marie Huston, ATC, LAT
• Hut Alf LLC (Legend of Hutchinson)
• Hutch Inpatient Services LLC
• Hutchinson Anesthesia Professionals LLC
• Hutchinson Cardiac Surgery, PA
• Hutchinson Clinic Cardiopulmonary Diagnostics
• Hutchinson Clinic Oncology Dispensary
• Hutchinson Clinic Optical Shop

• Ambulatory Surgical Clinic/Center in Hutchinson, KS
• Providers in Hutchinson, 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 Apr 27, 2015; 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.