Blue Valley Surgical Associates, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BLUE VALLEY SURGICAL ASSOCIATES, LLC

Practice address

12850 Metcalf Ave
Suite 220
Overland Park, KS 66213-2622

Phone

(913) 492-0160

Fax

(913) 239-0372

NPI assigned

Jan 13, 2010

Organization subpart

Yes

Parent organization

BLUE VALLEY HOSPITAL, INCAs reported in NPPES

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

Authorized official

Name

Mr. Douglas Palzer

Title

Ceo

Phone

(913) 940-1675

Specialties & licenses 2

Addresses

Part of

Pinnacle Regional Hospital Inc

Locations

Practitioners 1

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

• Damon C. Dixon, MD

  • Anesthesiology Physician
  • Macon, GA
  • NPI 1689656878
  NPD (past)

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1598095580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24406",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662834406",
            "telephone_number": "913-492-0160",
            "fax_number": "913-239-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12850 METCALF AVE",
            "address_2": "SUITE 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132622",
            "telephone_number": "913-492-0160",
            "fax_number": "913-239-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE VALLEY SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUE VALLEY HOSPITAL, INC",
        "enumeration_date": "2010-01-13",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "PALZER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-940-1675",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "KS",
            "license": "4373114",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Blue Valley Physical Therapy,PA
• Blue Valley Usd 229
• Blue Valley Vision of Overland Park LLC
• Blue Valley Women'S Care
• Blue Wave Counseling
• Valerie Blue, LCP

• Surgery Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.