Organization Active NPI

Western Plains Physician Practices LLC

Doing business as Dodge City Surgical Services

  • Surgery Physician
  • Dodge City, KS
National Provider Identifier
1770616252
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0432750 Issued in KS
Legal business name
WESTERN PLAINS PHYSICIAN PRACTICES LLC
Doing business as
Dodge City Surgical Services
Practice address
112 W Ross Blvd
Suite C
Dodge City, KS 67801-7219
Phone
(620) 227-5334
Fax
(620) 227-5212
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Mr. Thomas M Weiss
Title
Division President
Phone
(615) 372-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 0432750 KS Primary

Addresses

Primary practice location

112 W Ross Blvd
Suite C
Dodge City, KS 67801-7219

Mailing address

112 W Ross Blvd
Suite C
Dodge City, KS 67801-7219
Phone (620) 227-5334

Other identifiers 1

IdentifierTypeStateIssuer
200584680AMedicaidKS

Other names 1

  • Dodge City Surgical Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1770616252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W ROSS BLVD",
            "address_2": "SUITE C",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678017219",
            "telephone_number": "620-227-5334",
            "fax_number": "620-227-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W ROSS BLVD",
            "address_2": "SUITE C",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678017219",
            "telephone_number": "620-227-5334",
            "fax_number": "620-227-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PLAINS PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIVISION PRESIDENT",
        "authorized_official_telephone_number": "615-372-8500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "KS",
            "license": "0432750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200584680A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dodge City Surgical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.