Center for Advanced Gynecology Revocable Trust

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

CENTER FOR ADVANCED GYNECOLOGY REVOCABLE TRUST

Practice address

823 SW Mulvane St
Topeka, KS 66606-1764

Phone

(785) 270-8070

Fax

(785) 270-8071

NPI assigned

Dec 11, 2006

Last updated

Sep 17, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

COTTON-O'NEIL CLINIC REVOCABLE TRUSTAs reported in NPPES

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

Authorized official

Name

Ms. Debra Yocum, CPA

Title

Vice President

Phone

(785) 354-9591

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Cotton-Oneal Clinic

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1982764981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 SW MULVANE ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061764",
            "telephone_number": "785-270-8070",
            "fax_number": "785-270-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 SW MULVANE ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061764",
            "telephone_number": "785-270-8070",
            "fax_number": "785-270-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADVANCED GYNECOLOGY REVOCABLE TRUST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COTTON-O'NEIL CLINIC REVOCABLE TRUST",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "YOCUM",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "785-354-9591",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200302660A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily A Caudle, APRN
• Kara K Cavender
• Sidney Cavin
• Ashley Caylor, CPTA
• CBW Therapy LLC (CBW Therapy)
• Center for Manual Medicine, P.a. (The Center for Manual Medicine)
• Center for Nutrition and Preventive Medicine
• Center for Plastic Surgery, PA
• Center for Sight of Northeast Kansas, PA (Heartland Eye Care)
• Pablo A Cerca

• Gynecology Physician in Topeka, KS
• Providers in Topeka, KS by specialty
• Gynecology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.