Organization Active NPI

St Mary's Surgical Center Independence

  • Ambulatory Surgical Clinic/Center
  • Blue Springs, MO
National Provider Identifier
1497736805
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ST MARY'S SURGICAL CENTER INDEPENDENCE
Practice address
203 NW Rd Mize Road
Suite 218
Blue Springs, MO 64014
Phone
(816) 874-4181
Fax
(816) 874-4375
NPI assigned
Nov 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Alan Greenwood, RN
Title
Administrator
Phone
(816) 874-4181

Specialties & licenses 1

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

Addresses

Primary practice location

203 NW Rd Mize Road
Suite 218
Blue Springs, MO 64014

Mailing address

17000 E 40 Hwy
Suite 11
Independence, MO 64055-5323
Phone (816) 777-1706

National Provider Directory

National Provider Directory
Tax ID family
St Mary's Surgical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497736805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 E 40 HWY",
            "address_2": "SUITE 11",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555323",
            "telephone_number": "816-777-1706",
            "fax_number": "816-777-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 NW RD MIZE ROAD",
            "address_2": "SUITE 218",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "64014",
            "telephone_number": "816-874-4181",
            "fax_number": "816-874-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY'S SURGICAL CENTER INDEPENDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENWOOD",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-874-4181",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.