Advanced Ambulatory Surgery Center LLC

Key facts

NPI

1740944487

Entity type

Organization (NPI type 2)

Primary specialty

Ambulatory Surgical Clinic/Center 261QA1903X

Legal business name

ADVANCED AMBULATORY SURGERY CENTER LLC

Practice address

4695 E 37TH St N
Wichita, KS 67220

Phone

(316) 942-4519

NPI assigned

Oct 28, 2021

Organization subpart

No

Authorized official

Name

Jon Parks, MD NPI 1477544658

Title

Owner

Phone

(316) 942-4519

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

• Jon Charles Parks, MD Pain Medicine Physician · Wichita, KS · NPI 1477544658
  NPD Authorized official

Medicare Care Compare: Ambulatory surgical center

Listed as

Advanced Ambulatory Surgery Center LLC CCN 17C0001900

Medicare certification status

Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare participation

Medicare fee-for-service enrollment

Enrolled in KS

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

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All providers in Wichita, KS · Ambulatory Surgical Clinic/Center in Kansas