Midwest Surgical, P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MIDWEST SURGICAL, P.A.

Practice address

2237 Keystone Cir Ste C
Andover, KS 67002-8742

Phone

(316) 687-1090

Fax

(316) 687-2234

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jace W. Hyder, M.D.NPI 1336172907

Title

Owner/Manager

Phone

(316) 687-1090

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.891

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jace W. Hyder, M.D.

  • Surgery Physician
  • Andover, KS
  • NPI 1336172907
  Medicare reassignment NPD Authorized official
• Anna Katherine Clark Gibson, M.D.

  • Surgery Physician
  • Liberty, MO
  • NPI 1700801073
  NPD (past)
• Jason Knudtson, M.D.

  • Surgery Physician
  • Parker, CO
  • NPI 1255317038
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1477586030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 KEYSTONE CIR STE C",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028742",
            "telephone_number": "316-687-1090",
            "fax_number": "316-687-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 KEYSTONE CIR STE C",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028742",
            "telephone_number": "316-687-1090",
            "fax_number": "316-687-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SURGICAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "HYDER",
        "authorized_official_first_name": "JACE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "316-687-1090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100306610A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Home Care LLC
• Matthew G Meschke, D.O.
• Christopher M Meyer, M.D.
• Sarah J Mick, LMSW
• Mid-America Orthopedics LLC
• Rebecca Milburn, MA, L/CCC-SLP
• Kambry M Milford, DPT
• Richard Dean Miller, MD
• Marque Moss, LSCSW
• Megan Gene Moyer

• Surgery Physician in Andover, KS
• Providers in Andover, KS by specialty
• Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.