# ASCENTIST ASC MERRIAM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ascentist Ear, Nose and Throat Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255896676
- **Authorized official:** RONALD G BOOTH (PRESIDENT/ASCENTIST MANAGEMENT, LLC)
- **Authorized official phone:** (913) 318-3800

## Contact information

- **Practice address:** 6815 FRONTAGE RD STE B, MERRIAM, KS 66204-1291
- **Practice address phone:** (816) 875-2604
- **Mailing address:** 6815 FRONTAGE RD STE B, MERRIAM, KS 66204-1291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/11/2019
- **Last updated:** 02/16/2021