PS127&JN434, LLC (NPI# 1134420821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134420821 |
| Entity Type | Organization |
| Organization Name | PS127&JN434, LLC |
| Other Organization Name | VINTAGE MEDICAL ASSOCIATES |
| Practice Address |
2655 Sw Wanamaker Rd Ste H Topeka KS 66614-4477 |
| Mailing Address |
6021 Sw 29th St Ste A Pmb 358 Topeka KS 66614-6201 |
| Practice Telephone | 7854085228 |
| Practice Fax Number | 7857838026 |
| Mailing Telephone | 7854085228 |
| Mailing Fax Number | 7857838026 |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | JOSHUA HESTON (PRACTICE MANAGER) |
| Authorized Official Telephone | 7854085228 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| VINTAGE MEDICAL ASSOCIATES | Doing Business As Name - Organization |
| Street Address |
2655 SW WANAMAKER RD STE H |
| City | TOPEKA |
| State | KS |
| Zip Code | 66614-4477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205356516 | James Michael Mcgill | Counselor | 2121 Sw Chelsea Dr., Topeka, KS 66614 | 2017-06-27 |
| 1366988339 | Tracy Sprague | Nurse Practitioner | 2655 Sw Wanamaker, Topeka, KS 66614 | 2017-01-13 |
| 1336518976 | Pearlie Mae's Compassion and Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2956 Sw Seabrook Ave, Topeka, KS 66614 | 2015-09-24 |
| 1124424924 | Sunflower Smiles Pediatric Dentistry | Dentist | 3635 Sw Fairlawn Road, Suite 1, Topeka, KS 66614 | 2014-11-06 |
| 1902200371 | Katie Lynn Schippers | Pharmacist | 55311 Sw 22nd Pl, Topeka, KS 66614 | 2014-10-14 |
| 1457767105 | Eugene Curtis | Dentist | 2221 Sw Auburn Rd, Topeka, KS 66614 | 2014-07-02 |
| 1538583190 | Arnold V. Mueller | Internal Medicine | 2737 S.w. Bluestem Dr., Topeka, KS 66614 | 2014-02-18 |
| 1477991610 | Robert Roy Payne | Orthopaedic Surgery | 2403 Southwest Brookhaven Lane, Robert R. Payne, M.d, Topeka, KS 66614 | 2013-06-10 |
| 1134425556 | Dale Lake | Case Manager/Care Coordinator | 2706 Sw Tutbury Town Rd, Topeka, KS 66614 | 2011-02-02 |
| 1013248558 | Aline Boutz | Assisted Living Facility | 7720 Sw Asbury Dr, Topeka, KS 66614 | 2010-01-22 |
| Find all providers in zip 66614 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831576651 | Michael Howard Jackson | Family Medicine | 4646 Nw Fielding Road, Topeka, KS 66618 | 2015-04-30 |
| 1851559397 | Lawrence Lindsay Perry, Jr. | Family Medicine | 900 Sw Jackson St Fl 4, Topeka, KS 66612-1212 | 2008-05-31 |
| 1447394911 | Wilbert Calvin Streeter | Family Medicine | 2275 S 625 W, Topeka, IN 46571-9030 | 2007-02-17 |
| 1023160090 | Martha Ann Socolofsky | Family Medicine | 837 Nw Harrison St, Topeka, KS 66608-1473 | 2007-01-18 |
| 1760581466 | Prairie Family Medicine Associates, P.a. | Family Medicine | 631 Sw Horne St Ste 300, Topeka, KS 66606-1663 | 2006-09-21 |
| 1073522868 | Patricia A Klassen | Family Medicine | 600 Sw Jewell Avenue, Topeka, KS 66606 | 2006-08-08 |
| 1962416909 | Jay Pehrson Kennedy | Family Medicine | 2200 Sw Gage Boulevard, U.S. Department of Veterans Affairs, Topeka, KS 66622-0000 | 2006-07-27 |
| 1396760534 | Mathew Myron Leinwetter | Family Medicine | 1133 Sw Topeka Blvd, Topeka, KS 66629-0001 | 2006-07-12 |
| 1053356485 | Nancy Louise Burge | Family Medicine | 2840 Sw Urish Road, Topeka, KS 66614 | 2006-06-19 |
| 1700821238 | Cynthia M Scheibe | Family Medicine | 2902 Sw Asbury Dr, Topeka, KS 66614-4466 | 2006-06-18 |
| Find all providers in TOPEKA | ||||
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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.