Basic Information
| Provider Information | |||||||||
| NPI: | 1174560510 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHIERLING | ||||||||
| FirstName: | KEVIN | ||||||||
| MiddleName: | DALE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1500 SW 10TH AVE | ||||||||
| Address2: | |||||||||
| City: | TOPEKA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 666041301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7853546100 | ||||||||
| FaxNumber: | 7853545004 | ||||||||
| Practice Location | |||||||||
| Address1: | 1500 SW 10TH AVE | ||||||||
| Address2: | |||||||||
| City: | TOPEKA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 666041301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7853546100 | ||||||||
| FaxNumber: | 7853545004 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/02/2006 | ||||||||
| LastUpdateDate: | 06/10/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 39901 | TN | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 04-29251 | KS | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 100399700B | 05 | KS | MEDICAID | 4150228 | 01 | TN | BLUECROSS | OTHER | 068002044 | 01 | KS | MEDICARE PTAN | OTHER | 4110534 | 01 | TN | BLUECROSS | OTHER | 3333430 | 05 | TN | MEDICAID | P00290277 | 01 | TN | RAILROAD MEDICARE | OTHER | 3333431 | 05 | TN | MEDICAID |