Mao Leawood Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MAO LEAWOOD SURGERY CENTER LLC

Practice address

4940 W 137TH Street
Leawood, KS 66224

Phone

(316) 866-2540

NPI assigned

Feb 2, 2018

Organization subpart

No

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

Authorized official

Name

Mary Chau-Nguyen

Title

Management

Phone

(316) 300-6515

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Listed as

Mao Leawood Surgery Center LLCCCN 17C0001101

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 2

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

• Michael J Dempewolf, D.O.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Leawood, KS
  • NPI 1558654392
  NPD
• Pat Dinh DO, MD

  • Orthopaedic Surgery Physician
  • Wichita, KS
  • NPI 1013994979
  NPD

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1689173981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063405",
            "telephone_number": "316-300-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 W 137TH STREET",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "66224",
            "telephone_number": "316-866-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAO LEAWOOD SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "CHAU-NGUYEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "316-300-6515"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makenzie Bickers, LLC
• Malc Group Health Services LLC
• Andrew D Maloy, D.C.
• Aphrodite Mangum
• Ariel Mansholt, OTD
• Amber Maring, RRT, RPSGT, RST
• Stephanie Marquess
• Marquette Physical Therapy, P.a.
• Gerald Jay Marquette, RPT
• Chelsi N Martin, NP

• Ambulatory Surgical Clinic/Center in Leawood, KS
• Providers in Leawood, 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 Feb 2, 2018; 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.