Unknown Individual – Family Medicine Physician, NPI 1649276718
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
6021, Southwest 29th Street, Topeka, Shawnee County, Kansas, 66614, United States
SUITE A PMB 358
TOPEKA, KS 666146200
Phone: (785) 408-5228
Fax: (785) 783-8026
Type: Mailing
2641, Southwest Wanamaker Road, Topeka, Shawnee County, Kansas, 66614, United States
SUITE 301
TOPEKA, KS 666144969
Phone: (785) 408-5228
Fax: (785) 783-8026
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 66614)
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