# TALLGRASS GENERAL, VASCULAR & THORACIC SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699722900
- **Authorized official:** PAULA VANDERWIEDE (OFFICE MANAGER)
- **Authorized official phone:** (785) 232-0444

## Contact information

- **Practice address:** 6001 SW 6TH AVE, SUITE 220, TOPEKA, KS 66615-1011
- **Practice address phone:** (785) 232-0444
- **Practice address fax:** (785) 232-1562
- **Mailing address:** 6001 SW 6TH AVE, SUITE 220, TOPEKA, KS 66615-1011
- **Mailing address phone:** (785) 232-0444
- **Mailing address fax:** (785) 232-1562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/30/2006
- **Last updated:** 04/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CN9836 | RAILROAD MEDICARE | KS |