David A Console, M.D.

Individual provider Active NPI Psychiatry Physician · Topeka, KS

NPI 1972603496 · NPPES record last updated Jun 22, 2008

Key facts

NPI
1972603496
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
04-18580 (KS)
Practice address
2201 SW 29TH St
Topeka, KS 66611-1908
Phone
(785) 266-6162
Fax
(785) 266-6546
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-18580KSMDPsychiatry Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 04-18580 KS Yes

Addresses

Primary practice location

2201 SW 29TH St
Topeka, KS 66611-1908

Mailing address

2201 SW 29TH St
Topeka, KS 66611-1908
Phone (785) 266-6162

Other identifiers

IdentifierTypeStateIssuer
P00034222OtherRR MEDICARE
0000053342OtherKSBCBS

Other providers in Topeka, KS

All providers in Topeka, KS · Psychiatry Physician in Kansas

Sources for this page

Verify at the official NPI Registry.