Healthcare Provider Details

I. General information

NPI: 1174447254
Provider Name (Legal Business Name): ADVENTHEALTH SURGERY CENTER LENEXA CITY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16825 W 86TH ST STE 200
LENEXA KS
66219-2052
US

IV. Provider business mailing address

16950 W 86TH ST
LENEXA KS
66219-4506
US

V. Phone/Fax

Practice location:
  • Phone: 913-934-3010
  • Fax:
Mailing address:
  • Phone: 913-934-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE ROSENTRETER
Title or Position: CFO
Credential:
Phone: 620-249-2457