Surgery Center at Liberty Hospital, L.L.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGERY CENTER AT LIBERTY HOSPITAL, L.L.C.

Practice address

2529 Glenn Hendren Dr Ste 100
Liberty, MO 64068-9601

Phone

(816) 883-2401

Fax

(816) 883-2402

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Santosh George, MD, MD

Title

Governing Body President

Phone

(816) 883-2401

Specialties & licenses 1

Addresses

Other names 1

• Surgery Center at Liberty Hospital, L.L.C. Doing business as

Listed as

Surgery Center at Liberty Hospital LLCCCN 26C0001126

Medicare certification status

Terminated Voluntary: merger or closure, Sep 1, 2023From the Provider of Services file

Member of 1

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

• New Liberty Hospital Corporation

  • Internal Medicine Physician
  • Liberty, MO
  • NPI 1205188570

  Member Of

  NPD member

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1336364231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 GLENN HENDREN DR STE 100",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640689601",
            "telephone_number": "816-883-2401",
            "fax_number": "816-883-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 GLENN HENDREN DR STE 100",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640689601",
            "telephone_number": "816-883-2401",
            "fax_number": "816-883-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER AT LIBERTY HOSPITAL, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "GEORGE, MD",
        "authorized_official_first_name": "SANTOSH",
        "authorized_official_title_or_position": "GOVERNING BODY PRESIDENT",
        "authorized_official_telephone_number": "816-883-2401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Center at Liberty Hospital, L.L.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mei Suen
• Krinai Sullivan
• Maya Huan Sullivan, RN
• Roberta J Sullivan, JD, MA
• Teagan Elisabeth Sumy
• Alexa C Surratt, MS, LPC
• SVS Vision Inc
• Jason Swartwood, LCSW
• Elizabeth Swoboda
• Jessica F Taddeo, OT

• All providers in Liberty, MO
• Ambulatory Surgical Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.