| Midland Care Physician Services LLC | |
|
2655 Sw Wanamaker Rd Ste H Topeka KS 66614-4477 | |
| (785) 408-5228 | |
| (785) 783-8026 |
| Full Name | Midland Care Physician Services LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 2655 Sw Wanamaker Rd Ste H, Topeka, Kansas |
| Authorized Official Name and Position | Josh Heston (PRACTICE MANAGER) |
| Authorized Official Contact | 7854085228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midland Care Physician Services LLC 2655 Sw Wanamaker Rd Ste H Topeka KS 66614-4477 Ph: (785) 408-5228 | Midland Care Physician Services LLC 2655 Sw Wanamaker Rd Ste H Topeka KS 66614-4477 Ph: (785) 408-5228 |
| NPI Number | 1194448548 |
|---|---|
| Provider Enumeration Date | 09/21/2022 |
| Last Update Date | 06/02/2026 |
| Certification Date | 06/02/2026 |
| Medicare PECOS PAC ID | 0446627202 |
|---|---|
| Medicare Enrollment ID | O20221108000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194448548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| Provider Name | Charles G Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508847161 PECOS PAC ID: 6103806294 Enrollment ID: I20040721000005 |
| Provider Name | Mark a Wiles |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1932107521 PECOS PAC ID: 1052383080 Enrollment ID: I20040810001325 |
| Provider Name | Timothy L Heston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699889014 PECOS PAC ID: 3870562416 Enrollment ID: I20040929001173 |
| Provider Name | Mary Ann Hayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477073609 PECOS PAC ID: 6608140983 Enrollment ID: I20170926001044 |
| Provider Name | Erika Diane Albright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851816011 PECOS PAC ID: 7810250347 Enrollment ID: I20190731003482 |
| Provider Name | Kelley Randolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942863915 PECOS PAC ID: 0941539670 Enrollment ID: I20210722000375 |
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