Provider Demographics
NPI:1023015047
Name:IM/ID MEDICAL CONSULTANTS
Entity Type:Organization
Organization Name:IM/ID MEDICAL CONSULTANTS
Other - Org Name:TOPEKA INFECTIOUS DISEASE & ENDOCRINOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:RUMANS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:785-234-8405
Mailing Address - Street 1:631 SW HORNE ST
Mailing Address - Street 2:SUITE 420
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1694
Mailing Address - Country:US
Mailing Address - Phone:785-234-8405
Mailing Address - Fax:785-235-1702
Practice Address - Street 1:631 SW HORNE ST
Practice Address - Street 2:SUITE 420
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1694
Practice Address - Country:US
Practice Address - Phone:785-234-8405
Practice Address - Fax:785-235-1702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-24673207RE0101X
KS04-15305207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
Not Answered207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS016522Medicare ID - Type Unspecified