CENTER FOR PLASTIC SURGERY, PA (NPI# 1457689770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457689770 |
| Entity Type | Organization |
| Organization Name | CENTER FOR PLASTIC SURGERY, PA |
| Practice Address |
631 Sw Horne St Suite 400 Topeka KS 66606-1694 |
| Practice Telephone | 7852349000 |
| Practice Fax Number | 7852349119 |
| Mailing Telephone | 7852349000 |
| Mailing Fax Number | 7852349119 |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |
| Authorized Official Name | DR. JACK TELLIN PETERSON JR. (CEO) |
| Authorized Official Telephone | 7852349000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
631 SW HORNE ST SUITE 400 |
| City | TOPEKA |
| State | KS |
| Zip Code | 66606-1694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508860487 | Jack T Peterson Jr. | Specialist | 631 Sw Horne St, Ste 400, Topeka, KS 66606-1661 | 2005-06-09 |
| 1336630102 | Sarah Orbita Davis | Nurse Practitioner | 631 Sw Horne St, Topeka, KS 66606-1694 | 2018-05-28 |
| 1801274352 | Molly Aldrich | Pharmacist | 631 Sw Horne St, Topeka, KS 66606-1694 | 2015-05-15 |
| 1598143786 | Meghan Lem | Pharmacist | 631 Sw Horne St, Topeka, KS 66606-1694 | 2015-05-08 |
| 1972912947 | Margo Chediak | Physician Assistant | 631 Sw Horne St, Suite 420, Topeka, KS 66606-1694 | 2014-08-04 |
| 1225283930 | Rupp Urology LLC | Urology | 631 Sw Horne St, Suite 150, Topeka, KS 66606-1694 | 2008-11-21 |
| 1720245947 | Chu-chi Chen, Md,pa | Urology | 631 Sw Horne St, Suite 208, Topeka, KS 66606-1694 | 2008-05-16 |
| 1396879946 | Topeka Neurology Associates, P.a. | Psychiatry & Neurology | 631 Sw Horne St, Suite 200, Topeka, KS 66606-1694 | 2007-03-15 |
| 1942224670 | John K Farrell | Audiologist-Hearing Aid Fitter | 631 Sw Horne St, Suite 150, Topeka, KS 66606-1694 | 2006-07-26 |
| 1598728883 | Camille S Heeb | Pediatrics | 631 Sw Horne St, Suite 340, Topeka, KS 66606-1694 | 2006-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942843198 | Ashley Biggs | Nurse Practitioner | 823 Sw Mulvane, Ste 200, Topeka, KS 66606 | 2019-10-21 |
| 1952969925 | Danielle Marie Spencer | Physician Assistant | 823 Sw Mulvane, Ste 330, Topeka, KS 66606 | 2019-06-04 |
| 1174084545 | Samantha Brummell | Social Worker | 3707 Sw 6th, Topeka, KS 66606 | 2019-03-28 |
| 1659810372 | Jayme Jo Mejia | Nurse Practitioner | 200 Sw Frazier Circle, Topeka, KS 66606 | 2017-02-14 |
| 1497122139 | Andrew Q Etheridge | Case Manager/Care Coordinator | 325 Sw Frazier, Family Service & Guidance Center, Topeka, KS 66606 | 2015-08-28 |
| 1962817254 | Kelsie Maxwell | Clinic/Center | 1315 Sw 6th Ave Suite B, Topeka, KS 66606 | 2014-06-25 |
| 1548684202 | Kimberly Ann Spencer | Counselor | 1500 Sw 10th Avenue, Topeka, KS 66606 | 2014-02-14 |
| 1730501859 | Ryan Kemp-pappan | Counselor | Valeo Behavioral Health Care, 330 Sw Oakley Ave, Topeka, KS 66606 | 2014-01-08 |
| 1750710935 | Dia L Orear | Nurse Practitioner | 1700 Sw 7th Street, 2nd Floor, Topeka, KS 66606 | 2013-11-07 |
| 1609174523 | Elizabeth Husted | Community Health Worker | 5301 Sw 7th St., Topeka, KS 66606 | 2011-03-01 |
| Find all providers in zip 66606 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750642450 | Heather Lorita Pena | Surgery | 823 Sw Mulvane St, Ste 200, Topeka, KS 66606-1764 | 2012-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396802898 | Eric Swanson | Surgery | 11413 Ash, Leawood, KS 66211 | 2007-01-03 |
| 1235184888 | Plastic Surgery, P.a. | Surgery | 4701 College Blvd, Suite 206, Leawood, KS 66211-1603 | 2006-05-23 |
| 1598724031 | Nicky R Wheeler | Surgery | 1700 Waterfront Parkway, Bldg 200, Wichita, KS 67206 | 2006-03-22 |
| 1598748055 | Mona A Rane | Surgery | 109 E. 11th Street, Liberal, KS 67901-2762 | 2005-11-29 |
| 1760478713 | Joseph T Poggi | Surgery | 3510 N. Ridge Road, Suite 100, Wichita, KS 67205-1210 | 2005-09-26 |
| 1609436815 | Kalila Anne Steen | Surgery | 4801 W 135th St, Leawood, KS 66224-8901 | 2019-06-19 |
| 1891247326 | Lawrence Physicians LLC | Surgery | 1130 W 4th St, Suite 3200, Lawrence, KS 66044-1328 | 2016-11-01 |
| 1538403175 | Singhal Plastic Surgery Pa | Surgery | 5250 W 94th Ter, Prairie Village, KS 66207-2502 | 2012-11-20 |
| 1043570823 | Elizabeth Anne Killion | Surgery | 4801 W 135th St, Leawood, KS 66224 | 2012-05-25 |
| 1578839940 | Anita Scarlett Aldrich | Surgery | 1130 W 4th St Ste 3202, Lawrence, KS 66044 | 2012-03-29 |
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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.