| Vintage Medical Associates | |
|
2655 Sw Wanamaker Rd Ste H Topeka KS 66614-4477 | |
| (785) 408-5228 | |
| (785) 783-8026 |
| Full Name | Vintage Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 2655 Sw Wanamaker Rd Ste H, Topeka, Kansas |
| Authorized Official Name and Position | Joshua 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 |
|---|---|
| Vintage Medical Associates 6021 Sw 29th St Ste A Pmb 358 Topeka KS 66614-6201 Ph: (785) 408-5228 | Vintage Medical Associates 2655 Sw Wanamaker Rd Ste H Topeka KS 66614-4477 Ph: (785) 408-5228 |
| NPI Number | 1134420821 |
|---|---|
| Provider Enumeration Date | 11/11/2010 |
| Last Update Date | 09/28/2020 |
| Medicare PECOS PAC ID | 3173702883 |
|---|---|
| Medicare Enrollment ID | O20110127000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134420821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Timothy L Heston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699889014 PECOS PAC ID: 3870562416 Enrollment ID: I20040929001173 |
| Provider Name | Clare M Kuhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790118537 PECOS PAC ID: 9931420817 Enrollment ID: I20150603002516 |
| Provider Name | Abra J Friess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083095996 PECOS PAC ID: 5092020701 Enrollment ID: I20150810002109 |
| Provider Name | Lisa M Gladfelder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992247043 PECOS PAC ID: 8729367990 Enrollment ID: I20161110000797 |
| Provider Name | Tracy L Sprague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366988339 PECOS PAC ID: 6305115734 Enrollment ID: I20170628001962 |
| 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 |
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