Organization Active NPI

Rock Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Derby, KS
National Provider Identifier
1942748793
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ROCK SURGERY CENTER, LLC
Practice address
1101 N. Rock Rd., BLDG 2
Derby, KS 67037-3750
Phone
(316) 771-9999
NPI assigned
Feb 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Authorized official

Name
Mrs. Donna Drerup
Title
Vice President of Operations
Phone
(817) 875-7336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1101 N. Rock Rd., BLDG 2
Derby, KS 67037-3750

Mailing address

1180 Adams LN
Southlake, TX 76092-8501

National Provider Directory

National Provider Directory

Locations

1101 N Rock Rd
Stop 2
Derby, KS 67037
Phone (316) 771-9999

NPI Registry JSON

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1942748793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 ADAMS LN",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N. ROCK RD., BLDG 2",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373750",
            "telephone_number": "316-771-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "DRERUP",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "817-875-7336",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.