Healthcare Provider Details

I. General information

NPI: 1881616845
Provider Name (Legal Business Name): TOPEKA EAR, NOSE AND THROAT, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 10/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 SW LANE ST SUITE 200
TOPEKA KS
66606-2549
US

IV. Provider business mailing address

920 SW LANE ST SUITE 200
TOPEKA KS
66606-2549
US

V. Phone/Fax

Practice location:
  • Phone: 785-233-0500
  • Fax: 785-233-0660
Mailing address:
  • Phone: 785-233-0500
  • Fax: 785-233-0660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateKS

VIII. Authorized Official

Name: BARRY J MCCASKEY
Title or Position: OFFICE MANAGER
Credential:
Phone: 785-233-0500