Kevin J Prater (NPI# 1194706176, PAC ID# 5890771612) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1194706176 |
| PAC ID by PECOS | 5890771612 |
| Professional Enrollment ID | I20040624000685 |
| Full Name | Kevin J Prater |
| Organization Legal Name | IOWA ENT CENTER PLLC |
| Address |
1405 Nw Church St Decatur County Specialty Clinic Leon IA 50144-1205 |
| Phone Number | 6414462285 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6406007608 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160083 | MERCY MEDICAL CENTER-DES MOINES |
| 161301 | IOWA SPECIALTY HOSPITAL - BELMOND |
| Address | Phone | Organization |
|---|---|---|
| 1405 Nw Church St, Decatur County Specialty Clinic, Leon, IA 50144-1205 | 6414462285 | IOWA ENT CENTER PLLC |
| 405 Monroe St A, Pella, IA 50219-1189 | 6416289500 | IOWA ENT CENTER PLLC |
| 105 Valley W Dr, West Des Moines, IA 50265-3939 | 5152234368 | IOWA ENT CENTER PLLC |
| Organization Legal Name | IOWA ENT CENTER PLLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chalis M Treloar | Qualified Audiologist | Iowa Ent Center Pllc | 105 Valley W Dr, West Des Moines, IA 50265-3939 |
| Timothy C Simplot | Otolaryngology | Iowa Ent Center Pllc | 1510 Sw Oralabor Rd, Suite E, Ankeny, IA 50023-7147 |
| Joy A Hesse | Qualified Speech Language Pathologist | Iowa Ent Center Pllc | 105 Valley W Dr, West Des Moines, IA 50265-3939 |
| Eytan Young | Otolaryngology | Iowa Ent Center Pllc | 105 Valley W Dr, West Des Moines, IA 50265-3939 |
| Dorothy J Walters | Qualified Audiologist | Iowa Ent Center Pllc | 105 Valley W Dr, West Des Moines, IA 50265-3939 |
| Simon K Wright | Otolaryngology | Iowa Ent Center Pllc | 1510 Sw Oralabor Rd, Suite E, Ankeny, IA 50023-7147 |
| Sarah L Gray | Qualified Speech Language Pathologist | Iowa Ent Center Pllc | 105 Valley W Dr, West Des Moines, IA 50265-3939 |
| Mariah Js Jarosh | Qualified Audiologist | Iowa Ent Center Pllc | 105 Valley W Dr, West Des Moines, IA 50265-3939 |
| David L Wonnell | Physician Assistant | Iowa Ent Center Pllc | 1510 Sw Oralabor Rd, Suite E, Ankeny, IA 50023-7147 |
| Heidi L Close | Otolaryngology | Iowa Ent Center Pllc | 105 Valley W Dr, West Des Moines, IA 50265-3939 |
| Street Address |
1405 NW CHURCH ST DECATUR COUNTY SPECIALTY CLINIC |
| City | LEON |
| State | IA |
| Zip | 50144-1205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald S Bergman | Plastic and Reconstructive Surgery | Bergman Folkers Plastic Surgery PC | 1405 Nw Church St, Decatur Co Hospital, Leon, IA 50144-1205 |
| Miranda Helm | Nurse Practitioner | Decatur County Hospital | 1405 Nw Church St, Leon, IA 50144-1266 |
| Matthew Trump | Pulmonary Disease | The Iowa Clinic PC | 1405 Nw Church St, Leon, IA 50144-1205 |
| Michael A Flaum | Psychiatry | 1405 Nw Church St, Leon Sls, Leon, IA 50144-1205 | |
| Erika N Brown | Family Medicine | Decatur County Hospital | 1405 Nw Church St, Leon, IA 50144-1266 |
| Sumin T Li | Emergency Medicine | Decatur County Hospital | 1405 Nw Church St, Leon, IA 50144-1266 |
| Patricia L Goodemote | Family Practice | Decatur County Hospital | 1405 Nw Church St, Leon, IA 50144-1266 |
| Dustin A. Mccann | Pulmonary Disease | The Iowa Clinic PC | 1405 Nw Church St, Leon, IA 50144-1205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry W Richard | Family Medicine | Community Health Centers of Southern Iowa Inc | 302 Ne 14th St, Leon, IA 50144-1206 |
| Jenifer A Grissom | Nurse Practitioner | Community Health Centers of Southern Iowa Inc | 302 Ne 14th St, Leon, IA 50144-1206 |
| Mark E Easter | Family Medicine | Community Health Centers of Southern Iowa Inc | 302 Ne 14th St, Leon, IA 50144-1206 |
| Paul Casper | Physician Assistant | Community Health Centers of Southern Iowa Inc | 302 Ne 14th St, Leon, IA 50144-1206 |
| Jean Ruth Clapham | Nurse Practitioner | Community Health Centers of Southern Iowa Inc | 302 Ne 14th St, Leon, IA 50144-1206 |
| Daniel J Heffron | Chiropractic | 311 N Main, Leon, IA 50144-1451 |
| City | LEON |
| Zip Code | 50144 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LEON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kevin J Prater.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.