Basic Information
Provider Information
NPI: 1003814856
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PLOWDEN
FirstName: JOHN
MiddleName: SAMUEL
NamePrefix: DR.
NameSuffix: JR.
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1500 SW 10TH AVE
Address2: MEDICAL STAFF SERVICES
City: TOPEKA
State: KS
PostalCode: 666041301
CountryCode: US
TelephoneNumber: 7853546241
FaxNumber: 7852704343
Practice Location
Address1: 929 SW MULVANE ST
Address2:  
City: TOPEKA
State: KS
PostalCode: 66606
CountryCode: US
TelephoneNumber: 7852704100
FaxNumber: 7852704202
Other Information
ProviderEnumerationDate: 07/13/2005
LastUpdateDate: 01/18/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0202X2014006064MON Allopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
2080P0202X04-41634KSY Allopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology

No ID Information.


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