Healthcare Provider Details

I. General information

NPI: 1790751436
Provider Name (Legal Business Name): MED-ASSIST, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 07/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4011 SW 29TH ST
TOPEKA KS
66614-2218
US

IV. Provider business mailing address

4011 SW 29TH ST
TOPEKA KS
66614-2218
US

V. Phone/Fax

Practice location:
  • Phone: 785-272-2161
  • Fax: 785-272-1970
Mailing address:
  • Phone: 785-272-2161
  • Fax: 785-272-1970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFERY L. MARTIN
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 785-272-2161