Unknown Individual – Medical Physician Assistant, NPI 1073593588

Unknown Individual is a healthcare provider. based in Topeka, Kansas. specializing in Medical Physician Assistant. They hold a License No. 15-00814 (KS). The NPI Number for Unknown Individual is 1073593588

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1073593588
Phone
(785) 350-4348
Address
2200 SW GAGE BLVD
Deactivation Date
27 March 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Colmery-O'Neil VA Medical Center, 2200, Southwest Gage Boulevard, Topeka, Shawnee County, Kansas, 66622, United States

    TOPEKA, KS 666220001

    Phone: (785) 350-4348

    Type: Location

  • 17434 STONEY DR

    MAYETTA, KS 665098504

    Phone: (785) 966-3199

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66622)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1073593588?
NPI 1073593588 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Topeka?
Unknown Individual currently maps to Topeka, Kansas in this extract.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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