Preventive Medicine Associates

Primary specialty

SpecialistTaxonomy code 174400000X

License

04-25185 Issued in KS

Legal business name

PREVENTIVE MEDICINE ASSOCIATES

Practice address

1919 SW 10TH Ave
Suite 22
Topeka, KS 66604-1425

Phone

(785) 783-7779

Fax

(866) 516-1321

NPI assigned

Nov 7, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Liz A Shepherd

Title

Director of Medical Billing

Phone

(785) 215-8777

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irving A Cohen, M.D.

  • Public Health & General Preventive Medicine Physician
  • Topeka, KS
  • NPI 1104037845
  NPD (past)

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1588093744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 SW WANAMAKER DR",
            "address_2": "SUITE 107",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666145328",
            "telephone_number": "785-215-8777",
            "fax_number": "888-818-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 SW 10TH AVE",
            "address_2": "SUITE 22",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041425",
            "telephone_number": "785-783-7779",
            "fax_number": "866-516-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "LIZ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF MEDICAL BILLING",
        "authorized_official_telephone_number": "785-215-8777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KS",
            "license": "04-25185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terra M Prescott, LSCSW
• Nicole Preslicka
• Megan Press
• Rene Lynn Pressman
• Michael H Preston, PHARMD.
• Tamra Price, OTR
• Heather M Prichard, TLMSW, LBSW
• Beth Elaine Priddy, RN
• Gary Randall Priddy, RPH BCNSP
• Tara Denise Pridgett, M.D.

• Specialist in Topeka, KS
• Providers in Topeka, KS by specialty
• Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.