Healthcare Provider Details

I. General information

NPI: 1518917368
Provider Name (Legal Business Name): FRANK H YACKOVICH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 SW FIRST AMERICAN PLACE
TOPEKA KS
66604-4040
US

IV. Provider business mailing address

1303 SW FIRST AMERICAN PL
TOPEKA KS
66604-4059
US

V. Phone/Fax

Practice location:
  • Phone: 785-234-2306
  • Fax: 785-234-2550
Mailing address:
  • Phone: 785-234-2306
  • Fax: 785-234-2550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number036-113233
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number01050618A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number04-34751
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number34281
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD048858L
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number40364
License Number StateKY
# 7
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD0003583
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: