Provider Demographics
NPI:1043889371
Name:SAUNDERS, MACY M (PA-C)
Entity Type:Individual
Prefix:
First Name:MACY
Middle Name:M
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:MACY
Other - Middle Name:M
Other - Last Name:BURKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:601 SW CORPORATE VW STE 200
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66615-1245
Mailing Address - Country:US
Mailing Address - Phone:785-234-0880
Mailing Address - Fax:785-234-4150
Practice Address - Street 1:601 SW CORPORATE VW STE 200
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66615-1245
Practice Address - Country:US
Practice Address - Phone:785-234-0880
Practice Address - Fax:785-234-4150
Is Sole Proprietor?:No
Enumeration Date:2021-06-21
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS15-02508363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant