Frederic A Prater (NPI# 1174597629, PAC ID# 7416071485) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1174597629 |
| PAC ID by PECOS | 7416071485 |
| Professional Enrollment ID | I20100826001193 |
| Full Name | Frederic A Prater |
| Organization Legal Name | SSM MEDICAL GROUP INC |
| Address |
2024 Dorsett Vlg Maryland Heights MO 63043-2208 |
| Phone Number | 3145900550 |
| Gender | M |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6608776299 |
| Number of Group Practice Members | 498 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260104 | SSM DEPAUL HEALTH CENTER |
| 260081 | SSM ST CLARE HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2024 Dorsett Vlg, Maryland Heights, MO 63043-2208 | 3145900550 | SSM MEDICAL GROUP INC |
| Organization Legal Name | SSM MEDICAL GROUP INC |
| Physicians | 497 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodi R Lutz | Nurse Practitioner | Ssm Medical Group Inc | 1650 Washington Ave, Alton, IL 62002-3931 |
| Anne Marie Maestas | Podiatry | Ssm Medical Group Inc | 400 1st Capitol Dr, Suite 301, Saint Charles, MO 63301-2883 |
| Alina V Adams | Nurse Practitioner | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Jared Henrichs | Family Medicine | Ssm Medical Group Inc | 8670 A Big Bend Blvd, Saint Louis, MO 63119-3839 |
| Jamie L Partin | Nurse Practitioner | Ssm Medical Group Inc | 16105 Manchester Rd, Ellisville, MO 63011-2001 |
| Tyla A Johnson | Nurse Practitioner | Ssm Medical Group Inc | 190 N Florissant Rd, Ferguson, MO 63135-1942 |
| Ashfaq Ullah | Pulmonary Disease | Ssm Medical Group Inc | 12255 De Paul Dr, Suite 500, Bridgeton, MO 63044-2515 |
| Katherine E Galliers | Nurse Practitioner | Ssm Medical Group Inc | 8571 Watson Rd, Webster Groves, MO 63119-5218 |
| Kaci Briann Hale | Nurse Practitioner | Ssm Medical Group Inc | 1001 Bowles Ave, Fenton, MO 63026-2338 |
| Tuyche D Sang | Internal Medicine | Ssm Medical Group Inc | 30 Ronnies Plz, Saint Louis, MO 63126-3552 |
| Street Address |
2024 DORSETT VLG |
| City | MARYLAND HEIGHTS |
| State | MO |
| Zip | 63043-2208 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheerin B Sturm | Family Medicine | Ssm Medical Group Inc | 2024 Dorsett Vlg, Maryland Heights, MO 63043-2208 |
| Timothy W Jennings | Family Medicine | Ssm Medical Group Inc | 2024 Dorsett Vlg, Maryland Heights, MO 63043-2208 |
| James R York Iii | Family Medicine | Ssm Medical Group Inc | 2024 Dorsett Vlg, Maryland Heights, MO 63043-2208 |
| Matthew Miriani | Family Medicine | Ssm Medical Group Inc | 2024 Dorsett Vlg, Maryland Heights, MO 63043-2208 |
| Marina T Fischer | Nurse Practitioner | Ssm Medical Group Inc | 2024 Dorsett Vlg, Maryland Heights, MO 63043-2208 |
| Leonard G Lucas | Family Medicine | Ssm Medical Group Inc | 2024 Dorsett Vlg, Maryland Heights, MO 63043-2208 |
| Charles S Larsen | Family Medicine | Ssm Medical Group Inc | 2024 Dorsett Vlg, Maryland Heights, MO 63043-2208 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy B M Carenza | Optometry | Browning Corrections Optometry LLC | 2311 Mckelvey Rd, Maryland Heights, MO 63043-1531 |
| Lee J Browning | Optometry | Browning Corrections Optometry LLC | 2311 Mckelvey Rd, Maryland Heights, MO 63043-1531 |
| Lindsey C Gischer | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 2963 Doddridge Ave, Maryland Heights, MO 63043-1736 |
| Joann Vu Adams | Optometry | Clarkson Optometry Inc | 12681 Dorsett Rd, Maryland Heights, MO 63043-2100 |
| Senija Turan | Optometry | Clarkson Optometry Inc | 12681 Dorsett Rd, Maryland Heights, MO 63043-2100 |
| Dustin William Anderson | Optometry | Clarkson Optometry Inc | 12681 Dorsett Rd, Maryland Heights, MO 63043-2100 |
| Darrell W Hickerson Jr. | Physical Therapy | 12674 Dorsett Rd, Maryland Heights, MO 63043-2130 | |
| Laura A Edmundson | Physical Therapy | Crpt, LLC | 12674 Dorsett Rd, Maryland Heights, MO 63043-2130 |
| Helen R Evans | Nurse Practitioner | Ssm Health Care St Louis | 2022 Dorsett Vlg, Maryland Heights, MO 63043-2208 |
| Jamil R Neme | General Practice | Ssm Health Care St Louis | 2022 Dorsett Vlg, Maryland Heights, MO 63043-2208 |
| Find all physicians in zip 63043 | |||
| City | MARYLAND HEIGHTS |
| Zip Code | 63043 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MARYLAND HEIGHTS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Frederic A 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.