Organization Active NPI

Mid-America Surgery Institute LLC

Doing business as College Park Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Overland Park, KS
National Provider Identifier
1679478291
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MID-AMERICA SURGERY INSTITUTE LLC
Doing business as
College Park Surgery Center
Practice address
10787 Nall Ave Ste 100
Overland Park, KS 66211-1373
Phone
(913) 385-4400
Fax
(913) 385-4450
NPI assigned
Oct 13, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MID-AMERICA SURGERY INSTITUTE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Authorized official

Name
David McKnight
Title
VP/Cfo
Phone
(972) 789-2816

Specialties & licenses 1

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

Addresses

Primary practice location

10787 Nall Ave Ste 100
Overland Park, KS 66211-1373

Mailing address

10787 Nall Ave Ste 100
Overland Park, KS 66211-1373
Phone (913) 385-4400

Other names 1

  • College Park Surgery Center Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1679478291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10787 NALL AVE STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111373",
            "telephone_number": "913-385-4400",
            "fax_number": "913-385-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10787 NALL AVE STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111373",
            "telephone_number": "913-385-4400",
            "fax_number": "913-385-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-AMERICA SURGERY INSTITUTE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID-AMERICA SURGERY INSTITUTE LLC",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "972-789-2816"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "College Park Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.