Provider Demographics
NPI:1073572244
Name:PARTNERS IN PEDIATRICS PA
Entity Type:Organization
Organization Name:PARTNERS IN PEDIATRICS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAMILLE
Authorized Official - Middle Name:S
Authorized Official - Last Name:HEEB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:785-234-4624
Mailing Address - Street 1:6021 SW 29TH ST
Mailing Address - Street 2:SUITE A PMB 374
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-6200
Mailing Address - Country:US
Mailing Address - Phone:785-272-1903
Mailing Address - Fax:785-272-5711
Practice Address - Street 1:631 SW HORNE ST
Practice Address - Street 2:SUITE 340
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1694
Practice Address - Country:US
Practice Address - Phone:785-234-4624
Practice Address - Fax:785-234-4791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS016818OtherBCBSKS
KS016818OtherBCBSKS