Kenneth C Prather, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

C5928 Issued in AR

Practice address

700 W Grove St
El Dorado, AR 71730-4416

Phone

(870) 863-2000

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General PracticeAlso: Family Practice

Education

University of Arkansas College of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crossett Health FoundationGroup PAC ID 9133030117, shared by 9 NPIs, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Acmc Family Home Health Home health agency, Crossett, AR, CCN 047109
• Ashley County Medical Center Hospital, Crossett, AR, CCN 041323

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arkansas Emergency Staffing Solutions, Inc

  • Emergency Medicine Physician
  • Hope, AR
  • NPI 1275774630
  Medicare reassignment NPD
• Crossett Health Foundation

  • Pediatric Otolaryngology Physician
  • Crossett, AR
  • NPI 1548252745
  Medicare reassignment NPD
• Crossett Health Foundation

  • Medicare Defined Swing Bed Hospital Unit
  • Crossett, AR
  • NPI 1649443144
  Medicare reassignment NPD
• Crossett Health Foundation

  • Critical Access Hospital
  • Crossett, AR
  • NPI 1952308215
  Medicare reassignment NPD
• Ess Hospitalist LLC

  • Hospitalist Physician
  • Crossett, AR
  • NPI 1881967305
  Medicare reassignment NPD
• Healogics Specialty Physicians of Arkansas, PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Fayetteville, AR
  • NPI 1538561436

  General Practice

  Medicare reassignment NPD
• Crossett Health Foundation

  • Rural Health Clinic/Center
  • Crossett, AR
  • NPI 1639159973
  NPD
• Healogics Specialty Physicians of Missouri, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Joplin, MO
  • NPI 1528468311
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Arkansas Homecare of Forrest City, LLC

  • Home Health Agency
  • Crossett, AR
  • NPI 1821661299
  Care Compare affiliation
• Crossett Health Foundation

  • Critical Access Hospital
  • Crossett, AR
  • NPI 1952308215
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1023086931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 BELFORT RD",
            "address_2": "ATTEN: JULIE KAYE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566017",
            "telephone_number": "904-446-3737",
            "fax_number": "904-446-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W GROVE ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304416",
            "telephone_number": "870-863-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATHER",
        "first_name": "KENNETH",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AR",
            "license": "C5928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "54158",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106158001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jan Porter, APRN
• Meagan Haynie Post, L.P.N.
• Thomas J Powell
• Julia Prado
• Brenton Lyle Prather, D.D.S
• Precision One Therapy & Associates
• Premier Rural DB & Gantt Surgery Center, LLC
• Virginia Denise Price, APN
• Casey Pritchard, APRN
• Promed Ambulance,Inc.

• General Practice Physician in El Dorado, AR
• Providers in El Dorado, AR by specialty
• General Practice Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.