ADVANCED AMBULATORY SURGERY CENTER LLC
NPI 1740944487
Clinic/Center - Ambulatory Surgical in Wichita, KS

NPI Status: Active since October 28, 2021

Contact Information

4695 E 37TH ST N
WICHITA, KS
ZIP 67220
Phone: (316) 942-4519

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 17D1087898
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-24-2026

About ADVANCED AMBULATORY SURGERY CENTER LLC

This page provides the complete NPI Profile along with additional information for Advanced Ambulatory Surgery Center Llc, a provider established in Wichita, Kansas operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1740944487 assigned on October 2021. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Jon Parks Md (Owner)

NPI
1740944487
Provider Name
ADVANCED AMBULATORY SURGERY CENTER LLC
Entity Type
Organization
Location Address
4695 E 37TH ST N WICHITA, KS 67220
Location Phone
(316) 942-4519
Mailing Address
4695 E 37TH ST N WICHITA, KS 67220
Mailing Phone
(316) 260-5650
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-28-2021
Last Update Date
08-23-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCare EPO Bronze - EPO
  • BlueCare EPO Gold - EPO
  • BlueCare EPO Gold Plus - EPO
  • BlueCare EPO Silver Plus - EPO
  • BlueCare EPO Simple Bronze HDHP - EPO
  • BlueCare EPO Simple Silver HDHP - EPO
  • BlueCare EPO Standardized Expanded Bronze - EPO
  • BlueCare EPO Standardized Gold - EPO
  • BlueCare EPO Standardized Silver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JON PARKS MD

Authorized Official Title
OWNER
Authorized Official Phone
(316) 942-4519

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
17D1087898
Facility Type
Physician Office
Certificate Effective Date
March 25, 2024
Certificate Expiration Date
March 24, 2026
Laboratory Director
BENEDICT KUSLIKIS
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Advanced Ambulatory Surgery Center Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1740944487
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27801848416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 8 + 0 + 1 + 8 + 4 + 8 + 4 + 1 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1740944487 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740944487, enumerated in the NPI registry as an "organization" on October 28, 2021

The provider is located at 4695 E 37th St N Wichita, Ks 67220 and the phone number is (316) 942-4519

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas, Inc.. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 17D1087898 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on October 28, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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