Basic Information
| Provider Information | |||||||||
| NPI: | 1851356422 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COMPTON | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 101 W SYCAMORE ST | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | KS | ||||||||
| PostalCode: | 667251276 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6204293636 | ||||||||
| FaxNumber: | 6204291301 | ||||||||
| Practice Location | |||||||||
| Address1: | 101 W SYCAMORE ST | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | KS | ||||||||
| PostalCode: | 667251276 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6204293636 | ||||||||
| FaxNumber: | 6204291301 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2006 | ||||||||
| LastUpdateDate: | 05/05/2015 | ||||||||
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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 | 208D00000X | 0516905 | KS | Y | Allopathic & Osteopathic Physicians | General Practice | 207P00000X | 0516905 | KS | N | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 100002310E | 05 | KS | MEDICAID | 243419306 | 05 | MO | MEDICAID |