Provider Demographics
NPI:1942314307
Name:ADVISORS MEDICAL PC
Entity Type:Organization
Organization Name:ADVISORS MEDICAL PC
Other - Org Name:NEW MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:SCHUSTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:785-537-7299
Mailing Address - Street 1:1135 WESTPORT DR
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-2860
Mailing Address - Country:US
Mailing Address - Phone:785-537-7299
Mailing Address - Fax:785-537-7988
Practice Address - Street 1:1135 WESTPORT DR
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-2860
Practice Address - Country:US
Practice Address - Phone:785-537-7299
Practice Address - Fax:785-537-7988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2013-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-30505174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS111114Medicare ID - Type Unspecified