Provider Demographics
NPI:1952379364
Name:DUNSHEE, CARLYLE M II (MD)
Entity Type:Individual
Prefix:
First Name:CARLYLE
Middle Name:M
Last Name:DUNSHEE
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 SW 6TH AVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66615-1006
Mailing Address - Country:US
Mailing Address - Phone:785-232-0444
Mailing Address - Fax:785-232-1562
Practice Address - Street 1:6001 SW 6TH AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66615-1006
Practice Address - Country:US
Practice Address - Phone:785-232-0444
Practice Address - Fax:785-232-1562
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-29016208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100394200AMedicaid
KS020049016OtherRAILROAD MEDICARE
KS100959Medicare ID - Type Unspecified
KSH36825Medicare UPIN