# SURGICENTER ANESTHESIA PA

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

## Provider details

- **NPI number:** 1760502470
- **Authorized official:** JANA KAY WOOD (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (816) 318-9400

## Contact information

- **Practice address:** 11413 ASH ST, LEAWOOD, KS 66211-1682
- **Practice address phone:** (913) 661-9977
- **Practice address fax:** (913) 661-9577
- **Mailing address:** PO BOX 4247, OVERLAND PARK, KS 66204-0247
- **Mailing address phone:** (913) 661-9977
- **Mailing address fax:** (913) 661-9577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 10/04/2007