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Shawnee Mission Surgery Center LLC

Ambulatory Surgical Clinic/Center in Merriam, KS · enumerated 2006 · authorized official Karsten Randolph, Exec Vp & Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962431197

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Shawnee Mission Surgery Center LLC
Other name <Unavail>
Parent organization Shawnee Mission Medical Center Inc
Practice address 9301 W 74th St Ste 300, Merriam, KS, 66204
Phone (913) 632-9320
Fax (913) 789-1886
Enumeration date Jul 1, 2006
Last updated in NPPES Dec 11, 2019

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License S046018 (KS) Primary

Authorized official

Name Karsten Randolph
Title Exec Vp & Cfo
Phone (913) 676-2152

Other identifiers

Identifier Type State Issuer
100415840A Medicaid KS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-12-11. Verify at npiregistry.cms.hhs.gov.
Where is Shawnee Mission Surgery Center LLC located?
The practice location on file with NPPES is in Merriam, KS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-12-11.