EASTERN KANSAS HEALTH CARE SYSTEM – Physician Assistant, NPI 1750302832

EASTERN KANSAS HEALTH CARE SYSTEM is a healthcare provider. based in Lawrence, Kansas. specializing in Physician Assistant. The organization holds a License No. 15-00217 (KS). The NPI Number for EASTERN KANSAS HEALTH CARE SYSTEM is 1750302832

Main info

Organization
Name
EASTERN KANSAS HEALTH CARE SYSTEM
NPI
1750302832
Phone
(785) 841-4707
Address
112 TUMBLEWEED DR
Authorized Official
MR. SIROUS NOURBAKHSH PHYSICIAN ASSISTANT PA-C
Enumeration Date
22 July 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for EASTERN KANSAS HEALTH CARE SYSTEM

  • 112, Tumbleweed Drive, Monterey, Lawrence, Douglas County, Kansas, 66049, United States

    LAWRENCE, KS 660494151

    Phone: (785) 841-4707

    Mailing address matches the actual address.

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.

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Medicare Enrollment & Revalidation

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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)

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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 66049)

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Frequently asked questions

Is there an official ID for EASTERN KANSAS HEALTH CARE SYSTEM in U.S. healthcare records?
The official identifier for EASTERN KANSAS HEALTH CARE SYSTEM is NPI 1750302832.
Would EASTERN KANSAS HEALTH CARE SYSTEM appear as active to a payer?
You can treat EASTERN KANSAS HEALTH CARE SYSTEM as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is EASTERN KANSAS HEALTH CARE SYSTEM?
EASTERN KANSAS HEALTH CARE SYSTEM is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with EASTERN KANSAS HEALTH CARE SYSTEM?
Directory geography for EASTERN KANSAS HEALTH CARE SYSTEM centers on Lawrence, Kansas.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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