Michael E Prater (NPI# 1598723173, PAC ID# 9032175922) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1598723173 |
| PAC ID by PECOS | 9032175922 |
| Professional Enrollment ID | I20041202000451 |
| Full Name | Michael E Prater |
| Organization Legal Name | ARIZONA COAST EAR, NOSE AND THROAT, LTD. |
| Address |
1760 N Mcculloch Blvd Suite 100 Lake Havasu City AZ 86403-6559 |
| Phone Number | 9288545368 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 2668456104 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030069 | HAVASU REGIONAL MEDICAL CENTER |
| 030117 | VALLEY VIEW MEDICAL CENTER |
| 030055 | KINGMAN REGIONAL MEDICAL CENTER |
| 031317 | LA PAZ REGIONAL HOSPITAL |
| 030101 | WESTERN ARIZONA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1760 N Mcculloch Blvd, Suite 100, Lake Havasu City, AZ 86403-6559 | 9288545368 | ARIZONA COAST EAR, NOSE AND THROAT, LTD. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ARIZONA COAST EAR, NOSE AND THROAT, LTD. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nikola Marie Neill | Nurse Practitioner | Arizona Coast Ear, Nose and Throat, Ltd. | 1200 W Mohave Rd, Parker, AZ 85344-6349 |
| Lisa J Gibbs | Qualified Audiologist | Arizona Coast Ear, Nose and Throat, Ltd. | 1760 N Mcculloch Blvd, Suite 100, Lake Havasu City, AZ 86403-6559 |
| Devin M Cunning | Otolaryngology | Arizona Coast Ear, Nose and Throat, Ltd. | 1200 W Mohave Rd, Parker, AZ 85344-6349 |
| Julie M Mcguire | Physician Assistant | Arizona Coast Ear, Nose and Throat, Ltd. | 1760 N Mcculloch Blvd, Suite 100, Lake Havasu City, AZ 86403-6559 |
| Street Address |
1760 N MCCULLOCH BLVD SUITE 100 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip | 86403-6559 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa J Gibbs | Qualified Audiologist | Arizona Coast Ear, Nose and Throat, Ltd. | 1760 N Mcculloch Blvd, Suite 100, Lake Havasu City, AZ 86403-6559 |
| Julie M Mcguire | Physician Assistant | Arizona Coast Ear, Nose and Throat, Ltd. | 1760 N Mcculloch Blvd, Suite 100, Lake Havasu City, AZ 86403-6559 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Essa J Sidiqi | Family Medicine | Lake Havasu Primary Care Pllc | 89 Civic Ctr Ln, Lake Havasu City, AZ 86403-0810 |
| Harley Finkle | Chiropractic | 1674 Mcculloch Blvd N, Lake Havasu City, AZ 86403-0962 | |
| Mary Ann Widman | Nurse Practitioner | Hrmc, LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Paul E Klein | Nurse Practitioner | Hrmc, LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Annette Baccus | Nurse Practitioner | Havasu Regional Medical Center LLC | 1799 Kiowa Ave, Suite 104, Lake Havasu City, AZ 86403-2867 |
| Christian L Grandell | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Peter H Dux | Family Medicine | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Jeffrey J Carls | Family Medicine | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Lisa V Williams | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Bridget C Conley | Physician Assistant | Fps Medical Center Ltd | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 |
| Find all physicians in zip 86403 | |||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | LAKE HAVASU CITY + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Michael E 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.