GARY L PRAH (NPI# 1215906235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215906235 |
| Entity Type | Individual |
| Full Name | GARY L PRAH |
| Credential | MD |
| Practice Address |
1318 Main St Lafayette IN 47901-1550 |
| Mailing Address |
Po Box 4699 Lafayette IN 47903-4699 |
| Practice Telephone | 7657425254 |
| Practice Fax Number | 7657424991 |
| Mailing Telephone | 7654492732 |
| Mailing Fax Number | 7654491196 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 01026342A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100231570 | 05 | |
| IN | ANTHEM PROVIDER NUMBER | 000000107537 | 01 |
| Street Address |
1318 MAIN ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47901-1550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720253255 | Unity Healthcare LLC | Internal Medicine | 1318 Main St, Lafayette, IN 47901-1550 | 2008-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689138398 | Amie Leigh Gallegos | Physical Therapy Assistant | 2741 N Salisbury St, West Lafayette, IN 47901 | 2019-01-27 |
| 1780876656 | William Everett Clymer IIi | Social Worker | 420 Columbia Street, Suite 205, Lafayette, IN 47901 | 2007-08-15 |
| 1780885731 | Purdue University | Clinic/Center | 509 North Street, Lafayette, IN 47901 | 2007-05-29 |
| 1184846727 | Donnamarie Marie Flanagan | Social Worker | 420 Columbia St, Suite 205, Lafayette, IN 47901 | 2007-05-03 |
| 1326269200 | Cleveland G. Shields | Marriage & Family Therapist | 802 Columbia Street, Lafayette, IN 47901 | 2007-05-01 |
| 1861539884 | New Community School | Local Education Agency (LEA) | 710 North St., Lafayette, IN 47901 | 2007-01-31 |
| 1962445387 | Doug A Essex | Counselor | 610 Main Street, Lafayette, IN 47901 | 2006-06-14 |
| 1629250618 | Westcentral Indiana Neonatal Group | Pediatrics | 501 N 3rd St, Lafayette, IN 47901-1001 | 2007-11-30 |
| 1265655831 | William B. Risk | Dentist | 609 N 5th St, Lafayette, IN 47901-1012 | 2007-04-11 |
| 1912992439 | Jeffrey Jon Yocum | Optometrist | 637 Ferry St, Lafayette, IN 47901-1143 | 2005-09-12 |
| Find all providers in zip 47901 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144501 | Sw Louisiana Internal Medicine LLC | Internal Medicine | 105 Patriot St Ste 202, Lafayette, LA 70508-6831 | 2020-11-04 |
| 1205340676 | Robert Caspari | Internal Medicine | 2465 Cana Ct, Lafayette, CO 80026-9345 | 2017-11-21 |
| 1285151282 | Internal Medicine Clinic of Acadiana, LLC | Internal Medicine | 100 Waterford Dr, Lafayette, LA 70503-5401 | 2017-08-29 |
| 1669823142 | Lafayette Weight Loss Clinic, LLC | Internal Medicine | 5439 Johnston St, Lafayette, LA 70503-5135 | 2016-06-27 |
| 1689024911 | Himani Reddy Manthena | Internal Medicine | 401 Youngsville Hwy Ste 200b, Lafayette, LA 70508-5173 | 2016-06-17 |
| 1295196194 | Emily Charlie | Internal Medicine | 155 Hospital Dr Ste 205, Lafayette, LA 70503-2852 | 2016-03-19 |
| 1285095372 | Chad N Heinen Md Hospitalist Corporation | Internal Medicine | 310 Highway 89, Lafayette, LA 70508-4524 | 2016-03-16 |
| 1316308190 | Linda Lipstate | Internal Medicine | 408 Roswell Xing, Lafayette, LA 70508-6778 | 2016-03-08 |
| 1821484833 | Shantell Ceaser | Internal Medicine | 2390 West Congress Street., Lafayette, LA 70506 | 2015-04-07 |
| 1932511821 | Rory Bennett | Internal Medicine | 515 Saint Julien Ave, Lafayette, LA 70506-4735 | 2014-05-27 |
| Find all providers in LAFAYETTE | ||||
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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.