Mission Medical Group of Kansas, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MISSION MEDICAL GROUP OF KANSAS, PA

Practice address

2942B SW Wanamaker Drive
Topeka, KS 66614

Phone

(866) 662-4560

Fax

(877) 279-9425

NPI assigned

Oct 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth M Gallup, M.D.

Title

Medical Director

Phone

(866) 662-4560

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124111687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 M AIN STREET",
            "address_2": "SUITE 408",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "866-662-4560",
            "fax_number": "877-279-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2942B SW WANAMAKER DRIVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "66614",
            "telephone_number": "866-662-4560",
            "fax_number": "877-279-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION MEDICAL GROUP OF KANSAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALLUP",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "866-662-4560",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taurence C Minikwu Sr., LMAC, ADRP
• Minor Med PA
• Brian Minter
• Michelle Beth Mintzer, M.D.
• Mission Creek Camp & Retreat Center Inc
• Mitch Cooper DDS PA
• Christopher R Mitchell
• Danielle Mitchell, APRN
• Hayley Mitchell
• Jody Lynn Mitchell, APRN

• Internal Medicine Physician in Topeka, KS
• Providers in Topeka, KS by specialty
• Internal Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.