Organization Active NPI

Kansas Medical Clinic PA

  • MOHS-Micrographic Surgery Physician
  • Topeka, KS
National Provider Identifier
1508877523
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
Legal business name
KANSAS MEDICAL CLINIC PA
Practice address
2200 SW 6TH Ave
Topeka, KS 66606-1707
Phone
(785) 354-8518
Fax
(785) 354-1255
NPI assigned
Aug 11, 2006
Last updated
Sep 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Michelle Meier
Title
Administrator
Phone
(785) 295-0956

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Allergy & Immunology Physician 207K00000X NU
MOHS-Micrographic Surgery Physician 207ND0101X NU Primary
Gastroenterology Physician 207RG0100X NU
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU

Addresses

Primary practice location

2200 SW 6TH Ave
Topeka, KS 66606-1707

Mailing address

PO Box 255
Manhattan, KS 66505-0255
Phone (785) 232-2284

Other practice location 1

3511 Clinton Pl Ste C
Lawrence, KS 66047-2213
Phone (785) 331-4488

Other practice location 2

4201B Anderson Ave Ste 2
Manhattan, KS 66503-7601
Phone (785) 320-7774

Other practice location 3

801 N Mur Len Rd Ste 112
Olathe, KS 66062-1794
Phone (913) 738-8033

Other practice location 4

3550 S 4th St Ste 250
Leavenworth, KS 66048-5061
Phone (913) 565-2569

Other practice location 5

5820 LaMar Ave Ste 200
Mission, KS 66202-2655
Phone (913) 631-6330

Other practice location 6

11301 Nall Ave Ste 205
Leawood, KS 66211-1774
Phone (913) 451-5934

Other practice location 7

10940 Parallel Pkwy Ste M
Kansas City, KS 66109-4515
Phone (913) 788-7099

Other practice location 8

2921 SW Wanamaker Dr
Topeka, KS 66614-5328
Phone (785) 272-6860

Other practice location 9

1602 W 15th Ave Ste D
Emporia, KS 66801-9804
Phone (620) 208-8518

Other practice location 10

19101 E Valley View Pkwy Ste A
Independence, MO 64055-6907
Phone (816) 795-3353

Other identifiers 2

IdentifierTypeStateIssuer
1000317450BMedicaidKS
CN8517OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040308000496 KS Part B Supplier - Clinic/Group Practice 4981592334 Receives reassigned benefits from 56 practitioners
Practice locations: Kansas City, KS; Topeka, KS; Olathe, KS; Mission, KS; Manhattan, KS; Leawood, KS; Leavenworth, KS; Lawrence, KS…
O20190917001789 MO Part B Supplier - Clinic/Group Practice 4981592334 Receives reassigned benefits from 7 practitioners
Practice locations: Independence, MO

National Provider Directory

National Provider Directory

Locations

1602 W 15th Ave
Ste D
Emporia, KS 66801
Phone (620) 208-8518

10940 Parallel Pkwy
Ste M
Kansas City, KS 66109
Phone (913) 788-7099

8919 Parallel Pkwy
Ste 380
Kansas City, KS 66112
Phone (913) 596-2711

3511 Clinton Pl
Ste C
Lawrence, KS 66047
Phone (785) 331-4488

11301 Nall Ave
Ste 205
Leawood, KS 66211
Phone (913) 451-5934

4201 Anderson Ave
Ste B2
Manhattan, KS 66503
Phone (785) 320-7774

6333 Long Ave
Ste 360
Shawnee Msn, KS 66216
Phone (913) 631-6330

3405 NW Hunters Ridge Ter
Ste 200
Topeka, KS 66618
Phone (785) 286-2557

620 SE Madison St
Topeka, KS 66607
Phone (785) 232-4248

Practitioners & affiliated clinicians

Practitioners 63

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1508877523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665050255",
            "telephone_number": "785-232-2284",
            "fax_number": "785-232-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SW 6TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061707",
            "telephone_number": "785-354-8518",
            "fax_number": "785-354-1255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3511 Clinton Pl Ste C",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660472213",
            "country_code": "US",
            "telephone_number": "785-331-4488",
            "fax_number": "785-331-4338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4201B Anderson Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665037601",
            "country_code": "US",
            "telephone_number": "785-320-7774",
            "fax_number": "785-320-7758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 N Mur Len Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660621794",
            "country_code": "US",
            "telephone_number": "913-738-8033",
            "fax_number": "913-738-8034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3550 S 4th St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660485061",
            "country_code": "US",
            "telephone_number": "913-565-2569",
            "fax_number": "913-565-2571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5820 LaMar Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "KS",
            "postal_code": "662022655",
            "country_code": "US",
            "telephone_number": "913-631-6330",
            "fax_number": "913-631-6222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11301 Nall Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662111774",
            "country_code": "US",
            "telephone_number": "913-451-5934",
            "fax_number": "913-451-4716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10940 Parallel Pkwy Ste M",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661094515",
            "country_code": "US",
            "telephone_number": "913-788-7099",
            "fax_number": "913-788-7065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2921 SW Wanamaker Dr",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666145328",
            "country_code": "US",
            "telephone_number": "785-272-6860",
            "fax_number": "785-272-5839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1602 W 15th Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "668019804",
            "country_code": "US",
            "telephone_number": "620-208-8518",
            "fax_number": "620-208-8520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19101 E Valley View Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640556907",
            "country_code": "US",
            "telephone_number": "816-795-3353",
            "fax_number": "816-795-3354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KANSAS MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "MEIER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "785-295-0956"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000317450B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CN8517",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.