Deer Creek Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DEER CREEK SURGERY CENTER, LLC

Practice address

7220 W 129TH Street
Overland Park, KS 66213

Phone

(913) 897-0022

Fax

(913) 402-7354

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Michael C Stiles, M.D.NPI 1356390546

Title

Partner

Phone

(913) 897-0022

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sharper Vision, P.a.

  • Ophthalmology Physician
  • Lenexa, KS
  • NPI 1104051655

  O20091211000296

  Same enrollment

Listed as

Deer Creek Surgery Center LLCCCN 17C0001074

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

Tax ID family

Deer Creek Surgery Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Sharper Vision, LLC

  • Optometrist
  • Overland Park, KS
  • NPI 1467594275
  NPD tax ID
• Sharper Vision, P.a.

  • Ophthalmology Physician
  • Lenexa, KS
  • NPI 1104051655
  NPD tax ID

Member of 1

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

• Clarkson Optometry Inc

  • Optometrist
  • Saint Louis, MO
  • NPI 1790026540

  Member Of

  NPD member

Locations

Practitioners 6

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

• Michael Craig Stiles, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Overland Park, KS
  • NPI 1356390546
  NPD Authorized official
• Jenny Elizabeth O'Neil, ATC

  • Student in an Organized Health Care Education/Training Program
  • Olathe, KS
  • NPI 1619990777
  NPD
• Lynda T Tran, O.D.

  • Optometrist
  • Lincoln, NE
  • NPI 1063848984
  NPD
• Timothy B Cavanaugh, MD

  • Ophthalmology Physician
  • Overland Park, KS
  • NPI 1083686729
  NPD (past)
• Mary Doan, O.D.

  • Optometrist
  • Wichita, KS
  • NPI 1073996260
  NPD (past)
• Jeff Wongskhaluang, M.D.

  • Ophthalmology Physician
  • Olathe, KS
  • NPI 1821228677
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528099207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 W 129TH STREET",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66213",
            "telephone_number": "913-897-0022",
            "fax_number": "913-402-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 W 129TH STREET",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66213",
            "telephone_number": "913-897-0022",
            "fax_number": "913-402-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER CREEK SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STILES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "913-897-0022",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Decourcy Chiropractic Clinic PA
• Martin St John Decourcy, DC
• Deer Creek Behavioral Health Services
• Deer Creek Behavioral Health Services
• Deer Creek Family Dental
• Jessica Deeter
• Amanda Jo Defelice, SLP-CFY
• David Michael Deghelder, PTA
• Riley Degner
• Theresa Degrado

• Ambulatory Surgical Clinic/Center in Overland Park, KS
• Providers in Overland Park, 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 Aug 22, 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.