COTTON-O'NEIL CLINIC REVOCABLE TRUST


Address: 901 Sw Garfield Ave, Topeka, KS 66606-1670
Phone: 7853549591

COTTON-O'NEIL CLINIC REVOCABLE TRUST (NPI# 1811944457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811944457
Entity Type Organization
Organization Name COTTON-O'NEIL CLINIC REVOCABLE TRUST
Other Organization Name COTTON O'NEIL
Practice Address 901 Sw Garfield Ave
Topeka
KS 66606-1670
Practice Telephone 7853549591
Practice Fax Number 7853544268
Mailing Telephone 7853549591
Mailing Fax Number 7853544268
Enumeration Date 2006-05-28
Last Update Date 2019-05-15
Authorized Official Name MS. DEBRA YOCUM (VICE PRESIDENT)
Authorized Official Telephone 7853549591
Authorized Official Credential CPA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology Allopathic & Osteopathic Physicians
N 207K00000X Allergy & Immunology Allopathic & Osteopathic Physicians
N 207N00000X Dermatology Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians
N 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
Allopathic & Osteopathic Physicians
N 207RG0100X Internal Medicine
Specialization: Gastroenterology
Allopathic & Osteopathic Physicians
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
Allopathic & Osteopathic Physicians
N 207RI0200X Internal Medicine
Specialization: Infectious Disease
Allopathic & Osteopathic Physicians
N 207RN0300X Internal Medicine
Specialization: Nephrology
Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
Allopathic & Osteopathic Physicians
N 207RR0500X Internal Medicine
Specialization: Rheumatology
Allopathic & Osteopathic Physicians
N 207RX0202X Internal Medicine
Specialization: Medical Oncology
Allopathic & Osteopathic Physicians
N 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 003699900 05
KS 100217350A 05

Other Provider/Organization Names

Other Name Type Code
COTTON O'NEIL Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1700076015 Cotton-o'neil Clinic Revocable Trust Durable Medical Equipment & Medical Supplies 901 Sw Garfield Ave, Topeka, KS 66606-1670 2007-08-01
1609908474 Cotton-o'neil Clinic Revocable Trust Clinical Medical Laboratory 901 Sw Garfield Ave, Topeka, KS 66606-1670 2007-03-09

Office Location

Street Address 901 SW GARFIELD AVE
City TOPEKA
State KS
Zip Code 66606-1670

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851398879 Linda Kay Avila Physician Assistant 901 Sw Garfield Ave, Topeka, KS 66606-1670 2005-07-05
1841891223 Whitney Deedrick Nurse Practitioner 901 Sw Garfield Ave, Topeka, KS 66606-1670 2020-11-03
1487298352 Melissa Aeschliman Nurse Practitioner 901 Sw Garfield Ave, Topeka, KS 66606-1670 2019-11-04
1023666336 Inga Martinson Nurse Practitioner 901 Sw Garfield Ave, Topeka, KS 66606-1670 2019-08-29
1912561739 Shelby Brooks Nurse Practitioner 901 Sw Garfield Ave, Topeka, KS 66606-1670 2019-04-26
1417414665 Jeanette Kay Miller Registered Nurse 901 Sw Garfield Ave, Topeka, KS 66606-1670 2019-02-25
1992228753 Myra B. Wilson Physician Assistant 901 Sw Garfield Ave, Topeka, KS 66606-1670 2017-07-24
1801326905 Andrea Steele Nurse Practitioner 901 Sw Garfield Ave, Topeka, KS 66606-1670 2017-06-13
1922538958 Sarah B Elmer Nurse Practitioner 901 Sw Garfield Ave, Topeka, KS 66606-1670 2017-06-13
1497288146 Andrew Kwan Family Medicine 901 Sw Garfield Ave, Topeka, KS 66606-1670 2017-04-10
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235691221 American Heart Center Pa Internal Medicine 6730 Sw 29th St Ste B, Topeka, KS 66614-5651 2019-04-01
1912438136 Jarrod Michael Cullan Internal Medicine 1500 Sw 10thave, Topeka, KS 66604-1353 2017-03-21
1699182626 Shravana Bheemanathi Internal Medicine 901 Sw Garfield, 1st Floor, Topeka, KS 66606-1670 2014-07-22
1538583190 Arnold V. Mueller Internal Medicine 2737 S.w. Bluestem Dr., Topeka, KS 66614 2014-02-18
1811108483 Dennis C. Artzer, Md, Consultant In Nephrology, Hypertension & Interna Internal Medicine 631 Horne, Suite 420, Topeka, KS 66606 2007-05-25
1831285808 Joyce M Allen Internal Medicine 2025 Se California Ave, Topeka, KS 66607-1443 2006-10-05
1124111687 Mission Medical Group of Kansas, Pa Internal Medicine 2942b Sw Wanamaker Drive, Topeka, KS 66614 2006-10-02
1801900311 Charles Michael West Internal Medicine 5885 Sw 29th St, Topeka, KS 66614-2466 2006-08-19
1366451270 Henry E Spangler Internal Medicine 1700 Sw 7th Street, Topeka, KS 66606-1690 2006-08-07
1508847161 Charles Gregory Nelson Internal Medicine 200 Sw Frazier Cir, Topeka, KS 66606-2800 2005-11-10
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Competitor

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City TOPEKA
Zip Code 66606

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Dataset Information

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.

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