Organization Active NPI

Midwest Center for Advanced Surgery, LLC

  • Ambulatory Surgical Clinic/Center
  • Shawnee Mission, KS
National Provider Identifier
1316851975
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MIDWEST CENTER FOR ADVANCED SURGERY, LLC
Practice address
9209 W 110TH St
Shawnee Mission, KS 66210-1401
Phone
(417) 447-4484
NPI assigned
Sep 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Jeff Wongskhaluang, MD
Title
Authorized Official
Phone
(417) 447-4484

Specialties & licenses 1

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

Addresses

Primary practice location

9209 W 110TH St
Shawnee Mission, KS 66210-1401

Mailing address

9209 W 110TH St
Shawnee Mission, KS 66210-1401

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1316851975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9209 W 110TH ST",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662101401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9209 W 110TH ST",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662101401",
            "telephone_number": "417-447-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CENTER FOR ADVANCED SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "WONGSKHALUANG",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "417-447-4484",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.