NPIMap

Organization Active NPI

Central Kansas Medical Center

Doing business as Central Kansas Surgical Care

  • Surgery Physician
  • Great Bend, KS
National Provider Identifier
1881634970
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CENTRAL KANSAS MEDICAL CENTER
Doing business as
Central Kansas Surgical Care
Practice address
3520 Lakin Ave
Suite 102
Great Bend, KS 67530-3660
Phone
(620) 792-1227
Fax
(620) 792-8029
NPI assigned
Jun 7, 2006
Last updated
Nov 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Authorized official

Name
Sharon L. Lind
Title
Ceo
Phone
(620) 786-6101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

3520 Lakin Ave
Suite 102
Great Bend, KS 67530-3660

Mailing address

PO Box 989
Great Bend, KS 67530-0989
Phone (620) 786-6475

Other identifiers 2

IdentifierTypeStateIssuer
100069640JMedicaidKS
1881634970OtherKSBCBSKS PIN

Other names 1

  • Central Kansas Surgical Care Doing business as

National Provider Directory

National Provider Directory

Locations

3520 Lakin Ave
Ste 102
Great Bend, KS 67530
Phone (620) 792-1227

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1881634970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 989",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675300989",
            "telephone_number": "620-786-6475",
            "fax_number": "620-786-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 LAKIN AVE",
            "address_2": "SUITE 102",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303660",
            "telephone_number": "620-792-1227",
            "fax_number": "620-792-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL KANSAS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "LIND",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-786-6101"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100069640J",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKS PIN",
            "identifier": "1881634970",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Kansas Surgical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 2, 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.