DERBY AMBULATORY SURGERY CENTER – NPI #1114025137
Clinic/Center

DERBY AMBULATORY SURGERY CENTER is an AHC clinic located in DERBY, KS. NPPES has assigned the NPI number 1114025137 to DERBY AMBULATORY SURGERY CENTER on September 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DERBY AMBULATORY SURGERY CENTER” is a dba name, the actual legal business name for this organization is FAMILY MEDCENTERS, P.A.. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DERBY AMBULATORY SURGERY CENTER below.

NPI Profile for
FAMILY MEDCENTERS, P.A.

NPI Number
1114025137
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAMILY MEDCENTERS, P.A.
Doing Business As (dba): DERBY AMBULATORY SURGERY CENTER
Primary location
1101 N ROCK RD
DERBY, KS 67037-3735
Phone: (316) 788-6963 Fax: (316) 789-5373
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID NIEDEREE
PRESIDENT
Phone: (316) 788-6963
Updated
Identifiers

Identifiers for DERBY AMBULATORY SURGERY CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBC/BSKS112204
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 KS S-087-011

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.