DR. MICHAEL EDWARD PRATER (NPI# 1598723173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598723173 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL EDWARD PRATER |
| Credential | M.D. |
| Practice Address |
1760 Mcculloch Blvd N Ste. 100 Lake Havasu City AZ 86403-6559 |
| Practice Telephone | 9288545368 |
| Practice Fax Number | 9288544462 |
| Mailing Telephone | 9288545368 |
| Mailing Fax Number | 9288544462 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2008-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 28430 | AZ | Allopathic & Osteopathic Physicians |
| N | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
28430 | AZ | Allopathic & Osteopathic Physicians |
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
28430 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 515877 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538103940 | Michael T Prater | Emergency Medicine | 13924 Noland St, Overland Park, KS 66221-4155 | 2006-06-15 |
| 1740619923 | Michael Prater | Pharmacist | 221 3rd St W, Bldg 1040 Rm 1d201, Randolph Afb, TX 78150-4800 | 2013-11-07 |
| 1982955886 | Michael Canaan Prater | Orthopaedic Surgery | 870 Summit Crossing Pl, Gastonia, NC 28054-2192 | 2012-10-02 |
| 1942504931 | Michael Prater | Speech-Language Pathologist | 1900 Parr Ave, Dyersburg, TN 38024-2009 | 2011-01-05 |
| 1205092962 | Michael Prater | Counselor | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2008-08-01 |
| 1659599884 | Michael L. Prater | Dentist | 8041 Hosbrook Rd, Suite 300, Cincinnati, OH 45236-2989 | 2007-04-23 |
| 1740320373 | Michael A. Prater | Specialist | 2650 Crimson Canyon Dr, Las Vegas, NV 89128-0841 | 2007-02-06 |
| Street Address |
1760 MCCULLOCH BLVD N STE. 100 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-6559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629035944 | Devin Matthew Cunning | Otolaryngology | 1760 Mcculloch Blvd N, Ste. 100, Lake Havasu City, AZ 86403-6559 | 2006-04-28 |
| 1043662356 | Nikola Marie Neill | Nurse Practitioner | 1760 Mcculloch Blvd N, Ste 100, Lake Havasu City, AZ 86403-6559 | 2016-07-11 |
| 1497926356 | Lisa J Gibbs | Audiologist | 1760 Mcculloch Blvd N, Ste. 100, Lake Havasu City, AZ 86403-6559 | 2008-03-19 |
| 1467583898 | Arizona Coast Ear, Nose & Throat, Ltd. | Otolaryngology | 1760 Mcculloch Blvd N, Ste. 100, Lake Havasu City, AZ 86403-6559 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861020703 | Southwest Ear, Nose & Throat, Pllc | Otolaryngology | 1760 Mcculloch Blvd N Ste 102, Lake Havasu City, AZ 86403-6559 | 2020-03-27 |
| 1093348096 | Southwest Ear, Nose, & Throat Specialists | Otolaryngology | 1760 Mcculloch Blvd N Ste 100, Lake Havasu City, AZ 86403-6559 | 2020-02-18 |
| 1629035944 | Devin Matthew Cunning | Otolaryngology | 1760 Mcculloch Blvd N, Ste. 100, Lake Havasu City, AZ 86403-6559 | 2006-04-28 |
| 1467583898 | Arizona Coast Ear, Nose & Throat, Ltd. | Otolaryngology | 1760 Mcculloch Blvd N, Ste. 100, Lake Havasu City, AZ 86403-6559 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407476195 | Arizona Breathe Free Sinus & Allergy Centers | Otolaryngology | 9377 E Bell Rd Ste 207, Scottsdale, AZ 85260-1504 | 2020-04-22 |
| 1114546660 | Claire Marguerite Eileen Gleadhill | Otolaryngology | 1501 N Campell Ave, Tucson, AZ 85724-0001 | 2020-04-15 |
| 1225543036 | Tri-state Sinus Center | Otolaryngology | 2020 Silver Creek, B101, Bullhead City, AZ 86442 | 2017-12-04 |
| 1497277768 | Brent Allen Chang | Otolaryngology | 5777 E Mayo Blvd Dept Of, Phoenix, AZ 85054-4502 | 2017-07-08 |
| 1285178756 | Herbert Wong | Otolaryngology | 5505 E Mclellan Rd Unit 118, Mesa, AZ 85205-3409 | 2016-12-18 |
| 1902206683 | Robert Peterson | Otolaryngology | 3921 E Nora Cir, Mesa, AZ 85215-1077 | 2014-08-29 |
| 1255750162 | John Stanton Hamblin | Otolaryngology | 726 N Greenfield Rd Ste 101, Gilbert, AZ 85234-5062 | 2014-04-08 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1316280142 | Shilpa Sindhu Vishwanath | Otolaryngology | 2051 W Chandler Blvd Ste 5, Chandler, AZ 85224-6239 | 2013-03-29 |
| 1376819417 | Alexander Davis Lund | Otolaryngology | 77 W Forest Ave Ste 107, Flagstaff, AZ 86001 | 2012-03-22 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
Please comment or provide details below to improve the information on DR. MICHAEL EDWARD PRATER.
| 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.