Individual
DR. JACOB C DEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2660 SW 3RD ST, TOPEKA, KS 66606-2442
(785) 270-8880
Mailing address
2660 SW 3RD ST, TOPEKA, KS 66606-2442
(785) 270-8880
(785) 270-8881
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
04-39039
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002387
MEDICARE PTAN
KS
05
—
201136410A
—
KS
05
—
30004381810001
—
KS
Enumeration date
06/29/2011
Last updated
12/04/2025
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