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SURGICAL SPECIALISTS PA
NPI 1386613107
Surgery in Wichita, KS

Active since March 15, 2006
4013 N RIDGE RD, STE 210, WICHITA, KS 67205(316) 945-7309(316) 945-9131 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Surgical Specialists Pa NPPES

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

SURGICAL SPECIALISTS PA (NPI 1386613107) is a healthcare organization registered as a surgery in Wichita, Kansas and active in the NPI registry since March 2006. The organization lists John P Smith, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1386613107
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSURGICAL SPECIALISTS PA
Location Address4013 N RIDGE RD, STE 210Wichita, KS 67205-8860
Mailing AddressPo Box 905Wichita, KS 67201-0905 · (316) 945-7309 · Fax (316) 945-9131
Phone(316) 945-7309
Fax(316) 945-9131
Organization SubpartNo
Authorized OfficialJohn P SmithManaging Partner · (316) 945-7309
Enumeration DateMarch 15, 2006
Last NPPES UpdateMay 19, 2021
NPPES CertifiedMay 19, 2021
✔ NPI 1386613107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4013 N RIDGE RD, Wichita, KS 67205
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Other Identifiers 1

Medicaid100217610AKS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERICA C HICKERSON PA-C
Physician Assistant
4013 N RIDGE RD, SUITE 110
WICHITA, KS 67205
Sedgwick County (316) 722-1333
DR. JERRY G GASTON DO
Surgery
4013 N RIDGE RD, STE 210
WICHITA, KS 67205
Sedgwick County (316) 945-7309
MRS. SARA ANN KNIGHT LCSW
Social Worker (Clinical)
4013 N RIDGE RD
WICHITA, KS 67205
Sedgwick County (316) 201-6294
MRS. JILL M SMITH APRN
Nurse Practitioner (Family)
4013 N RIDGE RD, STE 210
WICHITA, KS 67205
Sedgwick County (316) 945-7309
STEPHEN A. OLSON M.D.
Surgery
4013 N RIDGE RD, STE. 210
WICHITA, KS 67205
Sedgwick County (316) 945-7309
MS. JEANNE LYNN PEARSON APRN
Nurse Practitioner (Acute Care)
4013 N RIDGE RD, SUITE 110
WICHITA, KS 67205
Sedgwick County (316) 722-1333
ALYSSA VONAGHER LMSW
Social Worker
4013 N RIDGE RD
WICHITA, KS 67205
Sedgwick County (316) 945-5200
MASON LANE CLOUD
Marriage & Family Therapist
4013 N RIDGE RD
WICHITA, KS 67205
Sedgwick County (316) 706-3709

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 Surgical Specialists PA's NPI number?

The NPI number for Surgical Specialists PA is 1386613107. It was assigned to this organization in the NPPES registry on March 15, 2006.

Where is Surgical Specialists PA located?

Surgical Specialists PA is located at 4013 N Ridge Rd Ste 210, Wichita, KS 67205. The listed phone number is (316) 945-7309.

What is Surgical Specialists PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Surgical Specialists PA was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.