EDWIN L PETRIK MD NPI 1912916818

NPI Information

NPI: 1912916818
Provider Name: EDWIN L PETRIK, MD
Classification: Internal Medicine - 207RH0000X
Entity Type: Individual

Specialization: Hematology

Address:
1414 SW 8TH AVE
TOPEKA, KS
ZIP 66606
Phone: (785) 354-5300
Get Directions

Edwin L Petrik, MD is a hematology internal medicine in Topeka, KS. The provider is 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. Edwin L Petrik, MD NPI is 1912916818. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1414 SW 8TH AVE
TOPEKA, KS
ZIP 66606-535
Phone: (785) 354-5300
Fax: (785) 354-5309

The enumeration date for this NPI number is 8/7/2006 and was last updated on 6/9/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RX0202X	Internal Medicine	Medical Oncology	04-13299	KANSAS	No
2	207RH0000X	Internal Medicine	Hematology	04-13299	KANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	067031	OTHER	KANSAS	MEDICARE PTAN
2	100178240A	MEDICAID	KANSAS
3	B69408	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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