JOHN VRTISKA MD PA; NPI #1265634315

Contact Information

JOHN VRTISKA MD PA

112 ROSS BLVD
SUITE A
DODGE CITY, KS 67801-7219

Phone: 620-225-5496
Fax: 620-225-5495
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Gynecology	207VG0400X	16	Physician/Obstetrics & Gynecology

Indicates primary specialty

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NPI Profile & details for JOHN VRTISKA MD PA

NPI # 1265634315

LBN Legal business name JOHN VRTISKA MD PA

Authorized official JOHN VRTISKA - (MD PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/01/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

KS	License #	T01174
KS	Medicaid	PENDING

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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JOHN VRTISKA MD PA

Contact Information

Specialty

Gynecology

NPI Profile & details for JOHN VRTISKA MD PA

Reviews for JOHN VRTISKA MD PA