Basic Information
| Provider Information | |||||||||
| NPI: | 1275500282 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAMILTON | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6001 SW 6TH AVE | ||||||||
| Address2: | SUITE 220 | ||||||||
| City: | TOPEKA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 666151006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7852320444 | ||||||||
| FaxNumber: | 7852321562 | ||||||||
| Practice Location | |||||||||
| Address1: | 6001 SW 6TH AVE | ||||||||
| Address2: | SUITE 220 | ||||||||
| City: | TOPEKA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 666151006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7852320444 | ||||||||
| FaxNumber: | 7852321562 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/08/2006 | ||||||||
| LastUpdateDate: | 03/29/2013 | ||||||||
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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 | 208600000X | 04-21746 | KS | Y | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | 020039913 | 01 | KS | RAILROAD MEDICARE | OTHER | 100316850A | 05 | KS | MEDICAID |