Provider Demographics
NPI:1265437685
Name:SADLER, TONI L (PA-C)
Entity type:Individual
Prefix:MRS
First Name:TONI
Middle Name:L
Last Name:SADLER
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:848 N ST FRANCIS ST STE 3949
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-3859
Mailing Address - Country:US
Mailing Address - Phone:316-268-8500
Mailing Address - Fax:316-291-7993
Practice Address - Street 1:848 N ST FRANCIS ST STE 3949
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3859
Practice Address - Country:US
Practice Address - Phone:316-268-8500
Practice Address - Fax:316-291-7993
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS15-00225363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100414510EMedicaid
KS426785Medicare PIN
KSP50603Medicare UPIN
KSKA1517006Medicare PIN