Provider Demographics
NPI:1811108483
Name:DENNIS C. ARTZER, MD, CONSULTANT IN NEPHROLOGY, HYPERTENSION & INTERNA
Entity type:Organization
Organization Name:DENNIS C. ARTZER, MD, CONSULTANT IN NEPHROLOGY, HYPERTENSION & INTERNA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:ARTZER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:785-232-4545
Mailing Address - Street 1:631 SW HORNE ST.
Mailing Address - Street 2:SUITE 420
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606
Mailing Address - Country:US
Mailing Address - Phone:785-232-4545
Mailing Address - Fax:785-232-0555
Practice Address - Street 1:631 HORNE
Practice Address - Street 2:SUITE 420
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606
Practice Address - Country:US
Practice Address - Phone:785-232-4545
Practice Address - Fax:785-232-0555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0417173207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100418090AMedicaid
KSB91057Medicare UPIN
KS102021Medicare PIN
KS100418090AMedicaid
KS110778Medicare PIN