ADVENTHEALTH SURGERY CENTER SHAWNEE MISSION – NPI #1962431197
Clinic/Center

ADVENTHEALTH SURGERY CENTER SHAWNEE MISSION is an AHC clinic located in MERRIAM, KS. NPPES has assigned the NPI number 1962431197 to ADVENTHEALTH SURGERY CENTER SHAWNEE MISSION on July 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVENTHEALTH SURGERY CENTER SHAWNEE MISSION” is a dba name, the actual legal business name for this organization is SHAWNEE MISSION SURGERY CENTER LLC. 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 Dec 11, 2019. 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 ADVENTHEALTH SURGERY CENTER SHAWNEE MISSION below.

NPI Profile for
SHAWNEE MISSION SURGERY CENTER LLC

NPI Number
1962431197
Enumeration Date

(about 20 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
SHAWNEE MISSION SURGERY CENTER LLC
Doing Business As (dba): ADVENTHEALTH SURGERY CENTER SHAWNEE MISSION
Primary location
9301 W 74TH ST STE 300
MERRIAM, KS 66204-2239
Phone: (913) 632-9320 Fax: (913) 789-1886
Mailing address
7315 E FRONTAGE RD STE 200
MERRIAM, KS 66204-1658
Phone: (913) 676-7770 Fax: (913) 676-7776
Organization Subpart
Yes - ADVENTHEALTH SURGERY CENTER SHAWNEE MISSION is subpart of another organization.
Authorized Official
KARSTEN RANDOLPH
EXEC VP & CFO
Phone: (913) 676-2152
Updated
Certification Date
Dec 11, 2019

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ADVENTHEALTH SURGERY CENTER SHAWNEE MISSION

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
MEDICAIDKS100415840A
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 S046018

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.