Organization Active NPI

Regional Surgical Associates, P.a.

  • General Practice Physician
  • Great Bend, KS
National Provider Identifier
1619934312
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
REGIONAL SURGICAL ASSOCIATES, P.A.
Practice address
3520 Lakin Ave
Great Bend, KS 67530-3646
Phone
(620) 792-1227
Fax
(620) 792-8029
NPI assigned
Apr 27, 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
Merlin G Kirby, M.D.
Title
President
Phone
(620) 792-1227

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

3520 Lakin Ave
Great Bend, KS 67530-3646

Mailing address

3520 Lakin Ave
Great Bend, KS 67530-3646
Phone (620) 792-1227

Other identifiers 1

IdentifierTypeStateIssuer
016622OtherKSBLUE CROSS & BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1619934312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 LAKIN AVE",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303646",
            "telephone_number": "620-792-1227",
            "fax_number": "620-792-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 LAKIN AVE",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303646",
            "telephone_number": "620-792-1227",
            "fax_number": "620-792-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL SURGICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "MERLIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-792-1227",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "016622",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Bend, 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.