Provider Demographics
NPI:1053396473
Name:OAKS, DAVID A (PA C)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:A
Last Name:OAKS
Suffix:
Gender:M
Credentials:PA C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6001 SW 6TH AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66615
Mailing Address - Country:US
Mailing Address - Phone:785-233-7491
Mailing Address - Fax:785-233-3187
Practice Address - Street 1:6001 SW 6TH AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66615
Practice Address - Country:US
Practice Address - Phone:785-233-7491
Practice Address - Fax:785-233-3187
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS1500467363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100288240AMedicaid
970002395OtherRR MEDICARE
042250Medicare ID - Type Unspecified
KS100288240AMedicaid