MR. KEVIN J. PRATER (NPI# 1194706176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194706176 |
| Entity Type | Individual |
| Full Name | MR. KEVIN J. PRATER |
| Credential | PA-C |
| Practice Address |
105 Valley West Dr Suite 100 West Des Moines IA 50265-3902 |
| Practice Telephone | 5152234368 |
| Practice Fax Number | 5154532368 |
| Mailing Telephone | 5152234368 |
| Mailing Fax Number | 5154532368 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2015-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 001453 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
001453 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | MEDICARE PTAN | IB2608010 | 01 |
| IA | MEDICARE PTAN | IB2609013 | 01 |
| IA | MEDICARE PTAN | IB2878003 | 01 |
| IA | MEDICARE PTAN | IB2610005 | 01 |
| Street Address |
105 VALLEY WEST DR SUITE 100 |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50265-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790773679 | Stephen Richard Griffith | Otolaryngology | 105 Valley West Dr, Suite 100, West Des Moines, IA 50265-3902 | 2005-10-13 |
| 1760863351 | Mariah Jarosh | Audiologist | 105 Valley West Dr, Suite 100, West Des Moines, IA 50265-3902 | 2015-06-09 |
| 1619382835 | Arun Gupta | Otolaryngology | 105 Valley West Dr, West Des Moines, IA 50265-3902 | 2014-06-26 |
| 1942632989 | Chelsey Rae Pyle | Physician Assistant | 105 Valley West Dr, West Des Moines, IA 50265 | 2013-08-01 |
| 1851630248 | Holly Christine Sinkler | Nurse Practitioner | 105 Valley West Dr, Suite 100, West Des Moines, IA 50265-3902 | 2013-02-06 |
| 1528314960 | Iowa Ent Center Pllc | Otolaryngology | 105 Valley West Dr, Suite 100, West Des Moines, IA 50265-3902 | 2012-08-02 |
| 1235484015 | Chalis M Treloar | Audiologist | 105 Valley West Dr, Suite 100, West Des Moines, IA 50265-3939 | 2012-07-18 |
| 1407134349 | April Dawn Hubbard | Audiologist | 105 Valley West Dr, West Des Moines, IA 50265-3939 | 2011-07-26 |
| 1306001037 | Joy Ann Hesse | Speech-Language Pathologist | 105 Valley West Dr, West Des Moines, IA 50265-3939 | 2008-07-22 |
| 1801057450 | Valerie D. Christianson | Audiologist | 105 Valley West Dr, West Des Moines, IA 50265-3939 | 2008-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255840534 | Vincent Hanna | Counselor | 225 23rd Street, West Des Moines, IA 50265 | 2017-09-29 |
| 1023547940 | Stephanie Hay | Massage Therapist | 105 S. 11th Street, West Des Moines, IA 50265 | 2017-06-05 |
| 1538606975 | Vermeer Quist Consulting, LLC | Community/Behavioral Health | 1115 Grand Ave, St. Mark Lutheran Church, West Des Moines, IA 50265 | 2017-01-24 |
| 1316389653 | Koch Facial Plastic Surgery PC | Otolaryngology | 4855 Mills Civic Parkway #100, West Des Moines, IA 50265 | 2013-07-29 |
| 1821237942 | Jeffrey Lenz Md PC | Family Medicine | 1235 8th Street, West Des Moines, IA 50265 | 2009-02-12 |
| 1962564856 | Cindy Schloss Calhoun | Social Worker | 1211 Vine St, Suite 2150, Des Moines, IA 50265 | 2006-12-15 |
| 1871671388 | Barbara Lynn Nebel | Speech-Language Pathologist | 950 Office Park Road, Suite 121, West Des Moines, IA 50265 | 2006-11-01 |
| 1639268576 | Brent Lane Cooper | Physical Therapist | Central Rehabilitation, Ltd, 950 Office Park Road, Suite 100, West Des Moines, IA 50265 | 2006-10-11 |
| 1104875319 | Jason A Nesheim | Optometrist | 1905 E P True Parkway, Ste 103, West Des Moines, IA 50265 | 2006-05-08 |
| 1063414464 | Steven R. Clark | Physical Therapist | 330 1st Street, Suite 100, Steven Clark Mfr Physical Therapy, West Des Moines, IA 50265 | 2005-08-15 |
| Find all providers in zip 50265 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1861836975 | Norbel Auxiliadora Brautigam | Physician Assistant | 6000 University Ave Ste 300, West Des Moines, IA 50266-8200 | 2013-04-19 |
| 1437498300 | Whitney Lynn Vogt | Physician Assistant | 180 Jordan Creek Pkwy Ste 120, West Des Moines, IA 50266-8490 | 2013-02-12 |
| 1548510373 | Ashlee J Reetz | Physician Assistant | 6600 Westown Pkwy Ste 220, West Des Moines, IA 50266-7710 | 2012-09-19 |
| 1639434046 | Brett Stewart | Physician Assistant | 6000 University Ave Ste 101, West Des Moines, IA 50266-8201 | 2012-07-11 |
| 1760760201 | Sara Colette Glover | Physician Assistant | 6000 University Ave Ste 124, West Des Moines, IA 50266-8200 | 2011-08-02 |
| 1043441264 | Katherine Ann Blomgren | Physician Assistant | 6000 University Ave Ste 350, West Des Moines, IA 50266-8294 | 2009-08-05 |
| 1922171578 | Elisabeth A Jeffords | Physician Assistant | 6001 Westown Pkwy Ste 101, West Des Moines, IA 50266-7702 | 2006-11-15 |
| 1265545420 | Christy K Haack | Physician Assistant | 2425 Westown Pkwy, West Des Moines, IA 50266-1425 | 2006-08-15 |
| 1326090366 | Ben G Vance | Physician Assistant | 5950 University Ave Ste 105, West Des Moines, IA 50266 | 2006-05-17 |
| Find all providers in WEST DES MOINES | ||||
| City | WEST DES MOINES |
| Zip Code | 50265 |
Please comment or provide details below to improve the information on MR. KEVIN J. 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.