Shawnee Mission Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

S046018 Issued in KS

Legal business name

SHAWNEE MISSION SURGERY CENTER LLC

Doing business as

AdventHealth Surgery Center Shawnee Mission

Practice address

9301 W 74TH St Ste 300
Merriam, KS 66204-2239

Phone

(913) 632-9320

Fax

(913) 789-1886

NPI assigned

Jul 1, 2006

Last updated

Jul 31, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

SHAWNEE MISSION MEDICAL CENTER INCAs reported in NPPES

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

Authorized official

Name

Stephanie Rosentreter

Title

Cfo

Phone

(620) 249-2457

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AdventHealth Surgery Center Shawnee Mission Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Listed as

Shawnee Mission Surgery Center LLCCCN 17C0001054

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

Part of

Georgetown Family Cate

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Shawnee Mission Medical Center Inc

  • Psychiatric Hospital Unit
  • Merriam, KS
  • NPI 1720142565

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1962431197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 E FRONTAGE RD STE 200",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662041658",
            "telephone_number": "913-676-7770",
            "fax_number": "913-676-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 W 74TH ST STE 300",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042239",
            "telephone_number": "913-632-9320",
            "fax_number": "913-789-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNEE MISSION SURGERY CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAWNEE MISSION MEDICAL CENTER INC",
        "enumeration_date": "2006-07-01",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "ROSENTRETER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "620-249-2457"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "KS",
            "license": "S046018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100415840A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdventHealth Surgery Center Shawnee Mission",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shawnee Mission Health Care, Inc (Trinity Nursing and Rehab Center)
• Shawnee Mission Medical Center Inc (AdventHealth Shawnee Mission)
• Shawnee Mission Medical Center Inc
• Shawnee Mission Medical Center Inc
• Shawnee Mission Medical Center Inc (AdventHealth Medical Group)
• Kara Shelman, LCSW
• Randy M Sheridan, M.D.
• Shayna Sheridan, COTA/L
• Sheila Shipley, COTA/L
• Sharla Shipman, M.D.

• Ambulatory Surgical Clinic/Center in Merriam, KS
• Providers in Merriam, KS by specialty
• Ambulatory Surgical Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.