Healthcare Provider Details

I. General information

NPI: 1558307264
Provider Name (Legal Business Name): JEFFREY M TEPLY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 05/11/2023
Certification Date: 05/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2830 SW URISH RD
TOPEKA KS
66614-5614
US

IV. Provider business mailing address

2830 SW URISH RD
TOPEKA KS
66614-5614
US

V. Phone/Fax

Practice location:
  • Phone: 785-273-4010
  • Fax: 785-273-8530
Mailing address:
  • Phone: 785-273-4010
  • Fax: 785-273-8530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number04-05812
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number04-32050
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number0432050
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: