MEDICARE: DR. TIMOTHY LOUIS HESTON D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	05-30776	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699889014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY LOUIS HESTON D.O.

Provider Business Mailing Address
First Line	:	6021 SW 29TH ST
Second Line	:	SUITE A PMB 358
City	:	TOPEKA
State	:	KS
Zip	:	66614-6200
Country	:	US
Telephone Number	:	785-408-5228
Fax Number	:	785-783-8026

Provider Business Practice Location Address
First Line	:	2655 SW WANAMAKER RD STE H
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66614-4477
Country	:	US
Telephone Number	:	785-408-5228
Fax Number	:	785-783-8026

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	01/28/2026

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