Provider Demographics
NPI:1275500282
Name:HAMILTON, JAMES J JR (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:HAMILTON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 SW 6TH AVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66615-1006
Mailing Address - Country:US
Mailing Address - Phone:785-232-0444
Mailing Address - Fax:785-232-1562
Practice Address - Street 1:6001 SW 6TH AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66615-1006
Practice Address - Country:US
Practice Address - Phone:785-232-0444
Practice Address - Fax:785-232-1562
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-21746208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS020039913OtherRAILROAD MEDICARE
KS100316850AMedicaid
KSD09154Medicare UPIN
KS053506Medicare ID - Type Unspecified