| Minor Med Pa | |
|
1119 Sw Gage Blvd Topeka KS 66604-1999 | |
| (785) 272-4000 | |
| (785) 272-0894 |
| Full Name | Minor Med Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 1119 Sw Gage Blvd, Topeka, Kansas |
| Authorized Official Name and Position | Steve Iliff (BUSINESS MANAGER) |
| Authorized Official Contact | 7852724000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minor Med Pa 1119 Sw Gage Blvd Topeka KS 66604-1999 Ph: (785) 272-4000 | Minor Med Pa 1119 Sw Gage Blvd Topeka KS 66604-1999 Ph: (785) 272-4000 |
| NPI Number | 1093827511 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 07/29/2019 |
| Medicare PECOS PAC ID | 6709897580 |
|---|---|
| Medicare Enrollment ID | O20190912001027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093827511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Gary G Graf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053482174 PECOS PAC ID: 3870584311 Enrollment ID: I20040521001185 |
| Provider Name | Richard Douglas Iliff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184692386 PECOS PAC ID: 5092874362 Enrollment ID: I20081103000082 |
| Provider Name | Roger M Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083681043 PECOS PAC ID: 1850439498 Enrollment ID: I20091119000070 |
| Provider Name | Nancy J Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023195849 PECOS PAC ID: 3375685969 Enrollment ID: I20100120000296 |
| Provider Name | Jill S Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336487412 PECOS PAC ID: 6608012802 Enrollment ID: I20130412000494 |
| Provider Name | Kristin K Poage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811329774 PECOS PAC ID: 7113154311 Enrollment ID: I20131213001554 |
| Provider Name | Nicole Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336533025 PECOS PAC ID: 6204141567 Enrollment ID: I20150814013971 |
| Provider Name | Lori R Peltier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629487996 PECOS PAC ID: 5799072088 Enrollment ID: I20160930000473 |
| Provider Name | Danielle L Balthazor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154851186 PECOS PAC ID: 1951670736 Enrollment ID: I20170711000981 |
| Provider Name | Laura Ballou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548718935 PECOS PAC ID: 9830462795 Enrollment ID: I20170829002421 |
| Provider Name | Kaylie D Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790207207 PECOS PAC ID: 5395004485 Enrollment ID: I20180118000155 |
| Provider Name | Jennifer Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821659061 PECOS PAC ID: 9234464025 Enrollment ID: I20190716003324 |
| Provider Name | Christopher F Stubbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942645478 PECOS PAC ID: 8820305394 Enrollment ID: I20210812003678 |
| Provider Name | Ashley A Broxterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609464304 PECOS PAC ID: 5092108431 Enrollment ID: I20220208002445 |
| Provider Name | Jessica M Schooler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194412320 PECOS PAC ID: 7315304870 Enrollment ID: I20230530000227 |
Topeka Infectious Disease & Endocrinology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 631 Sw Horne St, Suite 420, Topeka, KS 66606 Phone: 785-234-8405 Fax: 785-235-1702 | |
Promedt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1125 Sw Gage Blvd, Suite C, Topeka, KS 66604 Phone: 785-783-3706 | |
Marian Dental Clinic - Scl Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3164 Se 6th Ave, Topeka, KS 66607 Phone: 785-233-2800 Fax: 785-233-5116 | |
Chester R Davis Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1125 Sw Gage Blvd, Ste C, Topeka, KS 66604 Phone: 785-232-7324 Fax: 785-354-7155 | |
Topeka Consulting Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3520 Sw Alameda Dr, Topeka, KS 66614 Phone: 785-438-0073 | |
Department Of Veteran Affairs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Sw Gage Blvd, Attn: Hud-vash, Topeka, KS 66622 Phone: 785-350-3111 |