OrganizationActive
Pediatric & Adolescent Medicine P.A.
NPI 1790782134 · Pediatrics Physician · Lawrence, KS
Provider details
- NPI number
- 1790782134
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lucas Houk, Chief Administrative Officer(785) 842-4477
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1803 W 6th St
Lawrence, KS 66044-1710
Phone: (785) 842-4477
Fax: (785) 842-7433
Street-level locationGet directions
Mailing address
1803 W 6th St
Lawrence, KS 66044-1710
Registry dates
- Enumerated
- 2005-06-30
- Last updated
- 2022-07-21
- Certified
- 2021-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.