RIDGEWOOD SURGERY AND ENDOSCOPY CENTER LLC
NPI 1356488837
Clinic/Center - Ambulatory Surgical in Wichita, KS

Active since January 31, 2007CLIA 17D1067091 · Waiver
4013 NORTH RIDGE ROAD, WICHITA, KS 67205(913) 314-9193 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ridgewood Surgery And Endoscopy Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIDGEWOOD SURGERY AND ENDOSCOPY CENTER LLC (NPI 1356488837) is a healthcare organization registered as an ambulatory surgical in Wichita, Kansas and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through April 9, 2027 and lists Jennifer B Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1356488837
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameRIDGEWOOD SURGERY AND ENDOSCOPY CENTER LLC
Location Address4013 NORTH RIDGE ROADWichita, KS 67205-8822
Mailing Address4013 North Ridge RoadWichita, KS 67205-8822 · (913) 314-9193
Organization SubpartNo
Authorized OfficialJennifer B BaldockOfficer And Authorized Official · (615) 234-5954
Enumeration DateJanuary 31, 2007
Last NPPES UpdateAugust 1, 2024
NPPES CertifiedAugust 1, 2024
NPI 1356488837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4013 NORTH RIDGE ROAD, Wichita, KS 67205

Other Identifiers 3

Other112228KS · Blue Cross Blue Shield Ks
OtherP00428555Railroad Medicare
Medicaid200504040AKS

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D1067091

Ridgewood Surgery & Endoscopy Center · Wichita, KS
Active · expires Apr 9, 2027
CLIA Number17D1067091
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorJerry G. Gaston
Laboratory Phone(316) 722-8015
Laboratory LocationRidgewood Surgery & Endoscopy Center4013 North Ridge Road, Wichita, KS 67205
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Dexamethasone, lacrimal ophthalmic insert, 0.1 mg J1096
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg is a tiny device inserted into your tear duct. It releases a steroid, dexamethasone, to reduce inflammation and discomfort in your eye. It's often used for conditions like dry eye or following eye surgery.
1,728 services294 patients
Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml J1097
This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.
651 services123 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
386 services247 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
112 services112 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
98 services98 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
96 services59 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ridgewood Surgery And Endoscopy Center LLC's NPI number?

The NPI number for Ridgewood Surgery And Endoscopy Center LLC is 1356488837. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is Ridgewood Surgery And Endoscopy Center LLC located?

Ridgewood Surgery And Endoscopy Center LLC is located at 4013 North Ridge Road, Wichita, KS 67205. The listed phone number is (913) 314-9193.

What is Ridgewood Surgery And Endoscopy Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Ridgewood Surgery And Endoscopy Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D1067091) is associated with this NPI, valid through April 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ridgewood Surgery And Endoscopy Center LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Ridgewood Surgery And Endoscopy Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ridgewood Surgery And Endoscopy Center LLC was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.