Healthcare Provider Details

I. General information

NPI: 1023015047
Provider Name (Legal Business Name): IM/ID MEDICAL CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 SW HORNE ST SUITE 420
TOPEKA KS
66606-1694
US

IV. Provider business mailing address

631 SW HORNE ST SUITE 420
TOPEKA KS
66606-1694
US

V. Phone/Fax

Practice location:
  • Phone: 785-234-8405
  • Fax: 785-235-1702
Mailing address:
  • Phone: 785-234-8405
  • Fax: 785-235-1702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number04-24673
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number04-15305
License Number StateKS

VIII. Authorized Official

Name: MRS. DEBORAH L RUMANS
Title or Position: OFFICE MANAGER
Credential: RN
Phone: 785-234-8405