Basic Information
Provider Information | |||||||||
NPI: | 1750710935 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | OREAR | ||||||||
FirstName: | DIA | ||||||||
MiddleName: | L | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | APRN | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | MARKHAM, MARKHAM-OREAR | ||||||||
OtherFirstName: | DIA | ||||||||
OtherMiddleName: | L | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: | 1 | ||||||||
Mailing Information | |||||||||
Address1: | DEPT CH 14389 | ||||||||
Address2: |   | ||||||||
City: | PALATINE | ||||||||
State: | IL | ||||||||
PostalCode: | 600554389 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7852958108 | ||||||||
FaxNumber: | 7852707646 | ||||||||
Practice Location | |||||||||
Address1: | 1700 SW 7TH STREET, | ||||||||
Address2: | 2ND FLOOR | ||||||||
City: | TOPEKA | ||||||||
State: | KS | ||||||||
PostalCode: | 66606 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7852957800 | ||||||||
FaxNumber: | 7852315990 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 11/07/2013 | ||||||||
LastUpdateDate: | 11/07/2013 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | 53-76181 | KS | Y |   | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
No ID Information.