PRATT INTERNAL MEDICINE GROUP PA (NPI# 1174570386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174570386 |
| Entity Type | Organization |
| Organization Name | PRATT INTERNAL MEDICINE GROUP PA |
| Practice Address |
420 Country Club Rd Pratt KS 67124-3125 |
| Practice Telephone | 6206727415 |
| Practice Fax Number | 6206727414 |
| Mailing Telephone | 6206727415 |
| Mailing Fax Number | 6206727414 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2014-02-04 |
| Authorized Official Name | DR. DANIEL J SUITER (PRESIDENT OF CORPORATION) |
| Authorized Official Telephone | 6206727415 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | RURAL HEALTH BLUE CROSS | 000811 | 01 |
| KS | 100088840B | 05 |
| Street Address |
420 COUNTRY CLUB RD |
| City | PRATT |
| State | KS |
| Zip Code | 67124-3125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245716026 | Pratt Pharmacy Inc | Pharmacy | 420 Country Club Rd, Pratt, KS 67124-3125 | 2018-07-16 |
| 1225525637 | Brittney Johnson | Pharmacist | 420 Country Club Rd, Pratt, KS 67124-3125 | 2018-04-20 |
| 1992227854 | Gatlin Family Pharmacy LLC | Pharmacy | 420 Country Club Rd, Pratt, KS 67124-3125 | 2017-07-12 |
| 1518347293 | Allison Morford | Pharmacist | 420 Country Club Rd, Pratt, KS 67124-3125 | 2015-06-08 |
| 1881025393 | Pratt Regional Medical Center Corporation | Clinic/Center | 420 Country Club Rd, Pratt, KS 67124-3125 | 2013-12-09 |
| 1891121398 | Health Science Research Center | Clinic/Center | 420 Country Club Rd, Pratt, KS 67124-3125 | 2013-09-17 |
| 1033430566 | Rachael D Hauser | Internal Medicine | 420 Country Club Rd, Pratt, KS 67124-3125 | 2010-06-18 |
| 1477714509 | Mary Annette Adelhardt | Nurse Practitioner | 420 Country Club Rd, Pratt, KS 67124-3125 | 2008-06-20 |
| 1922274117 | Aaron M Zook | Internal Medicine | 420 Country Club Rd, Pratt, KS 67124-3125 | 2008-05-07 |
| 1356436307 | Morford Enterprises Inc | Pharmacy | 420 Country Club Rd, Pratt, KS 67124-3125 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487270013 | Americare At Grand Plains Skilled Nursing and Rehabiltation LLC | Skilled Nursing Facility | 331 State Route 61, Pratt, KS 67124 | 2020-06-19 |
| 1275025264 | Steven M Kunz | Dentist | 501 S. Fincham, Pratt, KS 67124 | 2018-06-05 |
| 1972046266 | Hillary Sims | Developmental Therapist | 216 Curtis St., Pratt, KS 67124 | 2016-11-18 |
| 1215216122 | Kelli Gallagher | Occupational Therapist | 707 S High, Pratt, KS 67124 | 2011-08-09 |
| 1417193301 | Pratt Regional Medical Center Corp | Nurse Anesthetist, Certified Registered | 200 Commodore, Pratt, KS 67124 | 2008-12-23 |
| 1861511891 | Corey L. Neal | Specialist/Technologist | 348 Ne Sr 61, Pratt, KS 67124 | 2007-03-29 |
| 1588757454 | Dave J Johnston | Dentist | 219 S Ninnescah, Pratt, KS 67124 | 2006-10-02 |
| 1518060995 | William David Eastes | Chiropractor | 223 E 4th, Pratt, KS 67124 | 2006-09-07 |
| 1376646620 | Luis E Espinoza | Specialist | 124 Commodore St Ste B, Pratt, KS 67124 | 2006-09-05 |
| 1205809605 | John D Mathes | Dentist | 603 N Main, Pratt, KS 67124 | 2006-02-08 |
| Find all providers in zip 67124 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881025393 | Pratt Regional Medical Center Corporation | Clinic/Center | 420 Country Club Rd, Pratt, KS 67124-3125 | 2013-12-09 |
| 1346379625 | Pratt Family Practice LLC | Clinic/Center | 203 Watson St, Suite 200, Pratt, KS 67124-3066 | 2007-03-05 |
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|---|---|---|---|---|
| 1083229488 | Haskell Regional Hospital, Inc. | Clinic/Center | 429 Maple St, Chetopa, KS 67336-9101 | 2020-09-11 |
| 1720609738 | Meade Hospital District | Clinic/Center | 304 N Aztec St, Montezuma, KS 67867-8874 | 2020-04-30 |
| 1720639644 | Labette County Medical Center | Clinic/Center | 613 Maple Street, Chetopa, KS 67336 | 2019-09-23 |
| 1134774821 | Morris County Hospital | Clinic/Center | 106 W Mackenzie St, White City, KS 66872-9797 | 2019-08-08 |
| 1487192845 | Clay County Medical Center | Clinic/Center | 701 Schurle Way, Riley, KS 66531 | 2017-02-06 |
| 1295284842 | Coffeyville Regional Medical Center, Inc. | Clinic/Center | 122 W Myrtle St Lowr Level, Independence, KS 67301-3317 | 2016-09-23 |
| 1154787190 | Labette County Medical Center | Clinic/Center | 510 Peter Pan Rd Ste B, Independence, KS 67301-7300 | 2016-01-06 |
| 1326416025 | Morton County Hospital | Clinic/Center | 415 Washington, Rolla, KS 67954 | 2015-09-11 |
| 1083043012 | Cah Acquisition Company 2 LLC | Clinic/Center | 1708 Corning Ave, Parsons, KS 67357 | 2013-11-12 |
| 1003152430 | Rural Health Resources of Jackson Co Inc | Clinic/Center | 323 2nd St, Wetmore, KS 66550-9618 | 2012-12-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.