Provider Demographics
NPI:1306959820
Name:UROLOGY ASSOCIATES OF TOPEKA PA
Entity type:Organization
Organization Name:UROLOGY ASSOCIATES OF TOPEKA PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:N
Authorized Official - Last Name:ISAACSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:785-233-4256
Mailing Address - Street 1:1001 SW GARFIELD AVE
Mailing Address - Street 2:STE 301
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-1359
Mailing Address - Country:US
Mailing Address - Phone:785-233-4256
Mailing Address - Fax:785-817-0010
Practice Address - Street 1:1001 SW GARFIELD AVE
Practice Address - Street 2:STE 301
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-1359
Practice Address - Country:US
Practice Address - Phone:785-233-4256
Practice Address - Fax:785-817-0010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDD4790OtherTRAVELERS MEDICARE
CS0224OtherTRAVELERS MEDICARE
0226680001OtherCIGNA MEDICARE
FLDD4790OtherTRAVELERS MEDICARE
KS003711Medicare ID - Type Unspecified