PROMEDT (NPI# 1053851261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053851261 |
| Entity Type | Organization |
| Organization Name | PROMEDT |
| Practice Address |
1125 Sw Gage Blvd Suite C Topeka KS 66604-2280 |
| Mailing Address |
6021 Sw 29th St Suite 1 Pmb 358 Topeka KS 66614-6200 |
| Practice Telephone | 7857833706 |
| Mailing Telephone | 7854085228 |
| Mailing Fax Number | 7857838026 |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |
| Authorized Official Name | TIMOTHY L HESTON (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7854085228 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
1125 SW GAGE BLVD SUITE C |
| City | TOPEKA |
| State | KS |
| Zip Code | 66604-2280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538182134 | Lorie M Baumgardner | Dentist | 1125 Sw Gage Blvd, Suite A, Topeka, KS 66604-2280 | 2006-07-25 |
| 1740606482 | Pro T Med, LLC | Family Medicine | 1125 Sw Gage Blvd, Suite C, Topeka, KS 66604-2280 | 2014-03-05 |
| 1407192677 | Lorie M Herzog-baumgardner Dds, Pa | Case Management | 1125 Sw Gage Blvd, Suite A, Topeka, KS 66604-2280 | 2012-12-17 |
| 1083828404 | Chester R Davis Md Pa | Family Medicine | 1125 Sw Gage Blvd, Ste C, Topeka, KS 66604-2280 | 2007-05-09 |
| 1477648699 | Edward Joseph Collins | Ophthalmology | 1125 Sw Gage Blvd, Suite B, Topeka, KS 66604-1774 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888700 | Shannon Poell | Pharmacist | 1500 W 10th St, Topeka, KS 66604 | 2020-10-13 |
| 1750921029 | Topeka Er Hospital LLC | General Acute Care Hospital | 6135 Sw 17th Street, Topeka, KS 66604 | 2020-01-14 |
| 1821641127 | Eryn Carter | Dietitian, Registered | 2611 Sw 17th St Ste 270, Topeka, KS 66604 | 2019-07-17 |
| 1427576669 | Paula J Rhoades | Marriage & Family Therapist | 2000 Sw Gage Blvd., Topeka, KS 66604 | 2017-09-08 |
| 1417486036 | Elizabeth Ann Riffel | Physical Therapy Assistant | 1250 Sw Oakley Avenue, Suite 100, Topeka, KS 66604 | 2017-06-07 |
| 1093170748 | James Wayne Fox | Counselor | 4015 Se 21 St, Topeka, KS 66604 | 2015-12-23 |
| 1013267319 | Kristin Deann Perez | Midwife | 1500 Sw 10th Street, Topeka, KS 66604 | 2012-09-13 |
| 1801187125 | Hana Albrecht | Pathology | 1500 Sw Tenth Avenue, Topeka Pathology Group, LLC, Topeka, KS 66604 | 2011-04-20 |
| 1760639298 | Jaida Nicole Kidney | Marriage & Family Therapist | 2000 Gage Boulevard, Topeka, KS 66604 | 2008-08-27 |
| 1780892505 | Robert Michael Lane | Radiologic Technologist | 1403 Sw 6th St, Topeka, KS 66604 | 2007-05-18 |
| Find all providers in zip 66604 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093166803 | Topeka Consulting Physicians | Clinic/Center | 3520 Sw Alameda Dr, Topeka, KS 66614-5110 | 2016-06-23 |
| 1285701763 | Family Health Topeka LLC | Clinic/Center | 631 Sw Horne St Ste 300, Topeka, KS 66606-1663 | 2006-11-29 |
| 1235171513 | Rhoads Medical Clinic, LLC | Clinic/Center | 6650 Sw Mission Valley Dr, Topeka, KS 66614-5654 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184275588 | Careatc | Clinic/Center | 6700 College Blvd Ste 100, Overland Park, KS 66211-1525 | 2019-09-26 |
| 1619528643 | Careatc | Clinic/Center | 7570 W 21st St N Bldg 1006, Wichita, KS 67205-1734 | 2019-09-20 |
| 1467910034 | Amanda Delise Huerta | Clinic/Center | 4134 Eaton St Apt 3, Kansas City, KS 66103-3345 | 2019-03-03 |
| 1104397124 | Bridges Healthcare Inc | Clinic/Center | 313 S. Market Street, Wichita, KS 67202 | 2018-12-17 |
| 1689157000 | Runyan Family Practice LLC | Clinic/Center | 520 S Holland St Ste 403, Wichita, KS 67209-2060 | 2018-09-11 |
| 1740781848 | Medlen Family Care | Clinic/Center | 115 W Peoria St, Paola, KS 66071-1411 | 2018-02-23 |
| 1417481078 | Salina Health Education Foundation | Clinic/Center | 142 S 7th St, Salina, KS 67401-7408 | 2017-04-20 |
| 1477002467 | Careatc Qt Overland Park | Clinic/Center | 6700 College Blvd, Suite 100, Overland Park, KS 66211-1525 | 2016-10-02 |
| 1538615190 | Atma Clinic, LLC | Clinic/Center | 920 Massachusetts St. Ste. 3, Lawrence, KS 66044 | 2016-09-01 |
| 1720445950 | Performance Health, Pa | Clinic/Center | 10111 E 21st St N Ste 315, Wichita, KS 67206-3581 | 2016-01-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.