Healthcare Provider Details

I. General information

NPI: 1962503540
Provider Name (Legal Business Name): EMERGENCY PHYSICIANS OF TOPEKA PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SW 10TH AVE
TOPEKA KS
66604-1301
US

IV. Provider business mailing address

PO BOX 326
TOPEKA KS
66601-0326
US

V. Phone/Fax

Practice location:
  • Phone: 785-354-4740
  • Fax: 785-233-2295
Mailing address:
  • Phone: 785-354-4740
  • Fax: 785-233-2295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. P. MARCUS BASSETT
Title or Position: OWNER
Credential: M.D.
Phone: 785-354-4740