Timothy J Pratt (NPI# 1104872068, PAC ID# 6709789589) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1104872068 |
| PAC ID by PECOS | 6709789589 |
| Professional Enrollment ID | I20100831000873 |
| Full Name | Timothy J Pratt |
| Address |
1011 Bowles Ave Suite 121 Fenton MO 63026-2387 |
| Phone Number | 3147662066 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260081 | SSM ST CLARE HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1011 Bowles Ave, Suite 121, Fenton, MO 63026-2387 | 3147662066 | |
| 1015 Bowles Ave, Fenton, MO 63026-2394 | 6364962000 | |
| 1015 Bowles Ave, Fenton, MO 63026-2394 | 6364962502 | SSM HEALTH CARE ST LOUIS |
| Street Address |
1011 BOWLES AVE SUITE 121 |
| City | FENTON |
| State | MO |
| Zip | 63026-2387 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan J Davis | Family Medicine | Ssm Medical Group Inc | 1011 Bowles Ave, Suite 300, Fenton, MO 63026-2387 |
| Lawrence V Boveri | Obstetrics/gynecology | County Obstetrics and Gynecology, Inc | 1011 Bowles Ave, Suite 215, Fenton, MO 63026-2387 |
| Eddy Chung-chiang Hsueh | General Surgery | St Louis University | 1011 Bowles Ave, Suite 425, Fenton, MO 63026-2384 |
| Sean B Bailey | Otolaryngology | Sound Health Services PC | 1011 Bowles Ave, Suite 405, Fenton, MO 63026-2387 |
| Richard B Whiting | Internal Medicine | Ssm Medical Group Inc | 1011 Bowles Ave, Fenton, MO 63026-2387 |
| Sarah J Ludlow | Family Medicine | Ssm Medical Group Inc | 1011 Bowles Ave, Suite 300, Fenton, MO 63026-2387 |
| Stephanie Becker Koepke | Hematology/oncology | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Anastasia A Averbukh | Nurse Practitioner | St Louis Dermatology LLC | 1011 Bowles Ave, Suite 121, Fenton, MO 63026-2387 |
| Naomi Sharon | Nurse Practitioner | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Elizabeth Anne Rancour | Dermatology | St Louis Dermatology LLC | 1011 Bowles Ave, Suite 121, Fenton, MO 63026-2387 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David E Morris | Radiation Oncology | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Carol Yacula | Nurse Practitioner | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Janelle Roethemeyer | Internal Medicine | American Multispecialty Group Inc | 1011 Bowles Ave, Suite 450, Fenton, MO 63026-0562 |
| Sri D Kolli | Internal Medicine | American Multispecialty Group Inc | 1011 Bowles Ave, Suite 450, Fenton, MO 63026-0562 |
| Katherine C Schoo | Nurse Practitioner | Mercy Clinic East Communities | 1375 N Hwy Dr, Mercy Clinic At Work Maritz, Fenton, MO 63026-1929 |
| Matthew J Tiefenbrunn | Family Medicine | Mercy Clinic East Communities | 1375 N Hwy Dr, Mercy Clinic At Work Maritz, Fenton, MO 63026-1929 |
| Evelyn Barton | Physical Therapy | 1700 B Gilsinn Ln, Fenton, MO 63026-2004 | |
| Adeluola G Lipede | Thoracic Surgery | 960s Hwy Dr, Fenton, MO 63026-2023 | |
| Hari T Srihari | Cardiovascular Disease (cardiology) | Ssm Medical Group Inc | 1055 Bowles Ave, Suite 200, Fenton, MO 63026-2308 |
| Chad C Shelton | Interventional Pain Management | Pro Pain LLC | 1055 Bowles Ave, Suite 202, Fenton, MO 63026-2308 |
| Find all physicians in zip 63026 | |||
| City | FENTON |
| Zip Code | 63026 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FENTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Timothy J Pratt.
| 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.