Active NPI
Western Kansas Surgical Specialists, P.a.
- Surgery Physician
- Great Bend, KS
National Provider Identifier
1679525869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- WESTERN KANSAS SURGICAL SPECIALISTS, P.A.
- Practice address
- 1400 Polk St
Great Bend, KS 67530-3619 - Phone
- (620) 792-3777
- Fax
- (620) 792-5985
- NPI assigned
- May 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori K Slater, RN
- Title
- Practice Manager
- Phone
- (620) 792-3777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
1400 Polk St
Great Bend, KS 67530-3619
Mailing address
1400 Polk St
Great Bend, KS 67530-3619
Phone (620) 792-3777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100321870A | Medicaid | KS | |
| 020037172 | Other | KS | RAIL ROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1400 Polk St
Great Bend, KS 67530
Phone (316) 792-3777
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Women's Health Nurse Practitioner
- Meade, KS
- NPI 1760522841
-
- Nurse Practitioner
- Ness City, KS
- NPI 1891713467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226448000000",
"number": "1679525869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 POLK ST",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675303619",
"telephone_number": "620-792-3777",
"fax_number": "620-792-5985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 POLK ST",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675303619",
"telephone_number": "620-792-3777",
"fax_number": "620-792-5985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN KANSAS SURGICAL SPECIALISTS, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-16",
"last_updated": "2008-11-12",
"status": "A",
"authorized_official_last_name": "SLATER",
"authorized_official_first_name": "LORI",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "620-792-3777",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100321870A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "020037172",
"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 Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.