Minimally Invasive and Bariatric Surgery, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

04-32899 Issued in KS

Legal business name

MINIMALLY INVASIVE AND BARIATRIC SURGERY, LLC

Practice address

2711 S. Rouse Ste. F
Pittsburg, KS 66762

Phone

(620) 232-9000

Fax

(620) 232-9005

NPI assigned

Dec 10, 2008

Last updated

Oct 23, 2019By 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

Amanda Miller

Title

Office Manager

Phone

(620) 232-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIBACD

Practitioners 6

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.

• Dustin Lynn Ashmore, APRN

  • Family Nurse Practitioner
  • Pittsburg, KS
  • NPI 1497122444
  Medicare reassignment NPD
• Takaaki Kido, M.D.

  • Surgery Physician
  • Pittsburg, KS
  • NPI 1306046065
  Medicare reassignment NPD
• Dwane M Beckenhauer, M.D.

  • Surgery Physician
  • Salina, KS
  • NPI 1912014077
  NPD (past)
• Gretchen L Martin, PA-C

  • Physician Assistant
  • Pittsburg, KS
  • NPI 1912078585
  NPD (past)
• Philip A Cedeno, M.D.

  • Surgery Physician
  • Bentonville, AR
  • NPI 1457468498
  NPD (past)
• Scott A Compton, D.O

  • Orthopaedic Surgery Physician
  • Mason City, IA
  • NPI 1568492593
  NPD (past)

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1932344538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 S. ROUSE STE. F",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "66762",
            "telephone_number": "620-232-9000",
            "fax_number": "620-232-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 S. ROUSE STE. F",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "66762",
            "telephone_number": "620-232-9000",
            "fax_number": "620-232-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMALLY INVASIVE AND BARIATRIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "620-232-9000"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-32899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201258530A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Kay Meyer, L.B.A., B.C.B.A.
• Michael Phillips MD LLC
• Jay Justin Middleton, PH.D.
• Lisa Marie Milford, ED.S.
• Mindi S. Garner, DO, Chartered
• Roger Patrick Misasi, D.O.
• Kelly Lynn Mishmash, DNP
• Emily Mollins
• Momentum Chiropractic LLC
• Elizabeth Cameron Moore, APRN

• Surgery Physician in Pittsburg, KS
• Providers in Pittsburg, KS by specialty
• Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.