Washington Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

169-1 Issued in MO

Legal business name

WASHINGTON SURGERY CENTER, LLC

Practice address

16 Chamber Dr
Washington, MO 63090-5279

Phone

(636) 239-9122

Fax

(636) 239-9120

NPI assigned

May 1, 2007

Last updated

Aug 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kayla Rose Hoke

Title

Administrator

Phone

(636) 239-9122

Specialties & licenses 1

Addresses

Other names 1

• Washington Surgery Center, Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Listed as

Washington Surgery Center IncCCN 26C0001106

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1821219718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CHAMBER DR",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630905279",
            "telephone_number": "636-239-9122",
            "fax_number": "636-239-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CHAMBER DR",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630905279",
            "telephone_number": "636-239-9122",
            "fax_number": "636-239-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "HOKE",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "636-239-9122"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "169-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Surgery Center, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Washington Surgery Center, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Washington University
• Wade Weibrecht, PHARMD
• Kristin Ann Marie Weidle, M.D.
• Mark Ryan Weidle, PHARMD
• Lizabeth L. Werner, LCSW

• Ambulatory Surgical Clinic/Center in Washington, MO
• Providers in Washington, MO by specialty
• Ambulatory Surgical Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.