Provider Demographics
NPI:1669441796
Name:CAPITOL ORTHOPEDIC INC.
Entity Type:Organization
Organization Name:CAPITOL ORTHOPEDIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-273-8260
Mailing Address - Street 1:PO BOX 4925
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-0925
Mailing Address - Country:US
Mailing Address - Phone:785-273-8260
Mailing Address - Fax:785-273-8716
Practice Address - Street 1:9727 SHANNON WOODS STE 140
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-4102
Practice Address - Country:US
Practice Address - Phone:785-273-8260
Practice Address - Fax:785-273-8716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0280060002Medicare NSC