Provider Demographics
NPI:1790751436
Name:MED-ASSIST, P.A.
Entity Type:Organization
Organization Name:MED-ASSIST, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:785-272-2161
Mailing Address - Street 1:4011 SW 29TH ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-2218
Mailing Address - Country:US
Mailing Address - Phone:785-272-2161
Mailing Address - Fax:785-272-1970
Practice Address - Street 1:4011 SW 29TH ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-2218
Practice Address - Country:US
Practice Address - Phone:785-272-2161
Practice Address - Fax:785-272-1970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-23
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0769670001Medicare NSC
KS016481Medicare ID - Type Unspecified