Provider Demographics
NPI:1700678430
Name:KU MEDWEST AMBULATORY SURGERY CENTER, L.L.C.
Entity type:Organization
Organization Name:KU MEDWEST AMBULATORY SURGERY CENTER, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ASC OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JASNOSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-574-1794
Mailing Address - Street 1:12000 W 151ST ST STE 200
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-7200
Mailing Address - Country:US
Mailing Address - Phone:913-942-5701
Mailing Address - Fax:
Practice Address - Street 1:12000 W 151ST ST STE 200
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-7200
Practice Address - Country:US
Practice Address - Phone:913-942-5701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical