Lawrence Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

S023002 Issued in KS

Legal business name

LAWRENCE SURGERY CENTER LLC

Practice address

6265 Rock Chalk Dr
Ste 2100
Lawrence, KS 66049-5232

Phone

(785) 832-0588

Fax

(785) 832-2029

NPI assigned

May 31, 2005

Last updated

Oct 5, 2020By 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

Mrs. Leisa Wright

Title

Business Office Manager

Phone

(785) 832-0588

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Listed as

Lawrence Surgery Center LLCCCN 17C0001048

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

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

• Lawrence Memorial Hospital

  • General Acute Care Hospital
  • Lawrence, KS
  • NPI 1508883422

  Member Of

  NPD member

Locations

Practitioners 1

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.

• Richard G Wendt, M.D.

  • Orthopaedic Surgery Physician
  • Lawrence, KS
  • NPI 1255399606
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1346243680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6265 ROCK CHALK DR",
            "address_2": "SUITE 2100",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660495232",
            "telephone_number": "785-832-0588",
            "fax_number": "785-832-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6265 ROCK CHALK DR",
            "address_2": "STE 2100",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660495232",
            "telephone_number": "785-832-0588",
            "fax_number": "785-832-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "LEISA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "785-832-0588",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "KS",
            "license": "S023002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC PROV. #",
            "identifier": "90932017",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "144083900",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KS PROV. #",
            "identifier": "130326",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTGUARD PROV. #",
            "identifier": "390320",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100372910A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BCBS PROV. #",
            "identifier": "1511",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence Radiation Oncology LLC (Precision Cancer Care)
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• Lawrence Speech Therapy, LLC
• Lawrence Sport and Spine LLC (Peak Performance)
• Lawrence Surgery Associates, P.a.
• Lawrence Therapy Services, LLC
• Lawrence Urology, P.a.
• Lawrence Usd 497
• Lawrence Vascular Surgery
• Lawrence Vein Center, P.a.

• Ambulatory Surgical Clinic/Center in Lawrence, KS
• Providers in Lawrence, 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 Oct 5, 2020; 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.