Provider Demographics
NPI:1952664708
Name:SUNFLOWER SURGICAL SPECIALISTS
Entity Type:Organization
Organization Name:SUNFLOWER SURGICAL SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:R
Authorized Official - Last Name:DANKS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:785-305-1594
Mailing Address - Street 1:268 NE 140TH STREET
Mailing Address - Street 2:
Mailing Address - City:SAINT JONES
Mailing Address - State:KS
Mailing Address - Zip Code:67576-1594
Mailing Address - Country:US
Mailing Address - Phone:785-305-1594
Mailing Address - Fax:620-458-3052
Practice Address - Street 1:268 NE 140TH STREET
Practice Address - Street 2:
Practice Address - City:SAINT JONES
Practice Address - State:KS
Practice Address - Zip Code:67576-1594
Practice Address - Country:US
Practice Address - Phone:785-305-1594
Practice Address - Fax:620-458-3052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-18
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSKA2721Medicare PIN