Organization
COTTON-O'NEIL CLINIC REVOCABLE TRUST
Active
Other names
COTTON O'NEIL
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE FISHER (PROVIDER ENROLLMENT SUPERVISOR)
(785) 354-5212
Entity
Organization
Contact information
Practice address
901 SW GARFIELD AVE, TOPEKA, KS 66606-1670
(785) 354-9591
(785) 354-4268
Mailing address
901 SW GARFIELD AVE, TOPEKA, KS 66606-1670
(785) 354-9591
(785) 354-4268
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003699900
—
FL
05
—
100217350A
—
KS
Enumeration date
05/28/2006
Last updated
11/25/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us