Organization Active NPI

Northwest Kansas Pain & Anesthesia, PA

  • Anesthesiology Physician
  • Hays, KS
National Provider Identifier
1366547333
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0424431 Issued in KS
Legal business name
NORTHWEST KANSAS PAIN & ANESTHESIA, PA
Practice address
2210 Canterbury Dr
Resource Building
Hays, KS 67601-2370
Phone
(785) 628-8300
Fax
(785) 623-4634
NPI assigned
Sep 14, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Keith Green, MD
Title
Doctor/Owner
Phone
(785) 628-8300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0424431 KS Primary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 0424431 KS
Pain Medicine (Anesthesiology) Physician 207LP2900X 0424431 KS

Addresses

Primary practice location

2210 Canterbury Dr
Resource Building
Hays, KS 67601-2370

Mailing address

2210 Canterbury Dr
Resource Building
Hays, KS 67601-2370
Phone (785) 628-8300

Other identifiers 1

IdentifierTypeStateIssuer
059329OtherKSBCBS OF KANSAS

National Provider Directory

National Provider Directory

Locations

2210 Canterbury Dr
Hays, KS 67601
Phone (785) 628-8300

Practitioners & affiliated clinicians

Practitioners 63

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.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1366547333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 CANTERBURY DR",
            "address_2": "RESOURCE BUILDING",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012370",
            "telephone_number": "785-628-8300",
            "fax_number": "785-623-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 CANTERBURY DR",
            "address_2": "RESOURCE BUILDING",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012370",
            "telephone_number": "785-628-8300",
            "fax_number": "785-623-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST KANSAS PAIN & ANESTHESIA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "785-628-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KS",
            "license": "0424431",
            "primary": true
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "KS",
            "license": "0424431",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KS",
            "license": "0424431",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS",
            "identifier": "059329",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.