Provider Demographics
NPI:1699769844
Name:SCHLAGECK, JOSEPH GEORGE (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:GEORGE
Last Name:SCHLAGECK
Suffix:
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 1:2103 MEADOWLARK RD
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-4556
Mailing Address - Country:US
Mailing Address - Phone:785-537-1900
Mailing Address - Fax:785-537-6240
Practice Address - Street 1:2103 MEADOWLARK RD
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-4556
Practice Address - Country:US
Practice Address - Phone:785-537-1900
Practice Address - Fax:785-537-6240
Is Sole Proprietor?:No
Enumeration Date:2005-09-02
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0420182207Q00000X, 2083X0100X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100125810DMedicaid
102986Medicare ID - Type Unspecified
KS100125810DMedicaid