# PARK PLACE SURGERY CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447257662
- **Authorized official:** DR. JOHN L BAEKE M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (913) 685-0101

## Contact information

- **Practice address:** 14950 NEWTON DR, OVERLAND PARK, KS 66223-2212
- **Practice address phone:** (913) 685-0101
- **Practice address fax:** (913) 685-3666
- **Mailing address:** 14950 NEWTON DR, OVERLAND PARK, KS 66223-2212
- **Mailing address phone:** (913) 685-0101
- **Mailing address fax:** (913) 685-3666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | S046020 | KS | Yes |

## Other

- **Enumeration date:** 07/01/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 91145013 | BLUE CROSS BLUE SHIELD KC | KS |