EDWIN L PETRIK (NPI# 1912916818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912916818 |
| Entity Type | Individual |
| Full Name | EDWIN L PETRIK |
| Credential | MD |
| Practice Address |
1414 Sw 8th Ave Topeka KS 66606-1535 |
| Practice Telephone | 7853545300 |
| Practice Fax Number | 7853545309 |
| Mailing Telephone | 7853545300 |
| Mailing Fax Number | 7853545309 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2014-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
04-13299 | KS | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
04-13299 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100178240A | 05 | |
| KS | MEDICARE PTAN | 067031 | 01 |
| Street Address |
1414 SW 8TH AVE |
| City | TOPEKA |
| State | KS |
| Zip Code | 66606-1535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467427740 | Muhammad A Salamat | Internal Medicine | 1414 Sw 8th Ave, Topeka, KS 66606-1535 | 2006-02-21 |
| 1851782395 | Karla Wessling | Dietitian, Registered | 1414 Sw 8th Ave, Topeka, KS 66606-1535 | 2015-02-05 |
| 1568882876 | Daulath Singh | Internal Medicine | 1414 Sw 8th Ave, Topeka, KS 66606-1535 | 2014-04-25 |
| 1720422306 | Stormont-vail Healthcare | Clinic/Center | 1414 Sw 8th Ave, Topeka, KS 66606-1535 | 2013-04-25 |
| 1629345889 | Christine R. Moody | Social Worker | 1414 Sw 8th Ave, Topeka, KS 66606-1535 | 2011-11-16 |
| 1881998078 | Ginger Rachel Wanklyn | Nurse Practitioner | 1414 Sw 8th Ave, Topeka, KS 66606-1535 | 2011-01-02 |
| 1740412279 | Youmna Samir Othman | Pediatrics | 1414 Sw 8th Ave, Topeka, KS 66606-1535 | 2009-08-18 |
| 1205067758 | John K Ma | Radiology | 1414 Sw 8th Ave, Topeka, KS 66606-1535 | 2009-07-31 |
| 1164575601 | Jakica Tancabelic | Pediatrics | 1414 Sw 8th Ave, Topeka, KS 66606-1535 | 2007-01-19 |
| 1528000833 | Mehmood Hussain Hashmi | Internal Medicine | 1414 Sw 8th Ave, Topeka, KS 66606-1535 | 2006-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942843198 | Ashley Biggs | Nurse Practitioner | 823 Sw Mulvane, Ste 200, Topeka, KS 66606 | 2019-10-21 |
| 1952969925 | Danielle Marie Spencer | Physician Assistant | 823 Sw Mulvane, Ste 330, Topeka, KS 66606 | 2019-06-04 |
| 1174084545 | Samantha Brummell | Social Worker | 3707 Sw 6th, Topeka, KS 66606 | 2019-03-28 |
| 1659810372 | Jayme Jo Mejia | Nurse Practitioner | 200 Sw Frazier Circle, Topeka, KS 66606 | 2017-02-14 |
| 1497122139 | Andrew Q Etheridge | Case Manager/Care Coordinator | 325 Sw Frazier, Family Service & Guidance Center, Topeka, KS 66606 | 2015-08-28 |
| 1962817254 | Kelsie Maxwell | Clinic/Center | 1315 Sw 6th Ave Suite B, Topeka, KS 66606 | 2014-06-25 |
| 1548684202 | Kimberly Ann Spencer | Counselor | 1500 Sw 10th Avenue, Topeka, KS 66606 | 2014-02-14 |
| 1730501859 | Ryan Kemp-pappan | Counselor | Valeo Behavioral Health Care, 330 Sw Oakley Ave, Topeka, KS 66606 | 2014-01-08 |
| 1750710935 | Dia L Orear | Nurse Practitioner | 1700 Sw 7th Street, 2nd Floor, Topeka, KS 66606 | 2013-11-07 |
| 1609174523 | Elizabeth Husted | Community Health Worker | 5301 Sw 7th St., Topeka, KS 66606 | 2011-03-01 |
| Find all providers in zip 66606 | ||||
| Taxonomy Code | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639171580 | David L Lee | Internal Medicine | 15123 S Omc Pkwy, Olathe, KS 66061-7251 | 2005-08-11 |
| 1033508304 | Aung Tun | Internal Medicine | 3901 Rainbow Blvd, Kansas City, KS 66160-0001 | 2015-01-09 |
| 1639266489 | David C Bodensteiner | Internal Medicine | 3901 Rainbow Blvd, Dept of Internal Medicine, Kansas City, KS 66160 | 2006-10-05 |
| 1902992647 | Barry S Skikne | Internal Medicine | 3901 Rainbow Blvd, Dept of Internal Medicine, Kansas City, KS 66160 | 2006-10-04 |
| 1689767261 | Siddhartha Ganguly | Internal Medicine | 2330 Shawnee Mission Pkwy, Suite 210, Westwood, KS 66205-2005 | 2006-10-02 |
| 1003864471 | Kansas City Cancer Center, LLC | Internal Medicine | 12200 W 110th St, Overland Park, KS 66210-4045 | 2006-05-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.