Organization Active NPI

Washburn Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Topeka, KS
National Provider Identifier
1306956818
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WASHBURN SURGERY CENTER, LLC
Practice address
619 SW Corporate View
Topeka, KS 66615-1233
Phone
(785) 235-3322
Fax
(785) 246-6258
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
John C. Marsh, M.D.
Title
Owner
Phone
(785) 235-3322

Specialties & licenses 1

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

Addresses

Primary practice location

619 SW Corporate View
Topeka, KS 66615-1233

Mailing address

619 SW Corporate View
Topeka, KS 66615-1233
Phone (785) 235-3322

Other identifiers 3

IdentifierTypeStateIssuer
490004516OtherKSPALMETTO GBA
100360750AMedicaidKS
112205OtherKSBCBS OF KS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060125000947 KS Part B Supplier - Ambulatory Surgical Center 0749294056 Practice locations: Topeka, KS

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Washburn Surgery Center LLCCCN 17C0001003
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2018381Washburn Surgery Center, LLC619 SW Corporate View, Topeka, KS 66615Certificate of waiverJan 3, 2027

National Provider Directory

National Provider Directory

Locations

920 SW Washburn Ave
Ste 300
Topeka, KS 66606
Phone (785) 232-6022

Practitioners & affiliated clinicians

Practitioners 4

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1306956818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 SW CORPORATE VIEW",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666151233",
            "telephone_number": "785-235-3322",
            "fax_number": "785-246-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 SW CORPORATE VIEW",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666151233",
            "telephone_number": "785-235-3322",
            "fax_number": "785-246-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHBURN SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-235-3322",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "490004516",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100360750A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS",
            "identifier": "112205",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.