Healthcare Provider Details

I. General information

NPI: 1477068815
Provider Name (Legal Business Name): NON NARCOTIC PAIN MANAGEMENT CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2017
Last Update Date: 12/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 SW WANAMAKER RD STE 205
TOPEKA KS
66604-2678
US

IV. Provider business mailing address

1100 SW WANAMAKER RD STE 205
TOPEKA KS
66604-2678
US

V. Phone/Fax

Practice location:
  • Phone: 785-215-8228
  • Fax: 785-215-8208
Mailing address:
  • Phone: 785-215-8228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANGELA MARIE GRIFFITH
Title or Position: NURSE AND OFFICE MANAGER
Credential: RN
Phone: 620-532-4379