Paul A Pradel, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R2414 Issued in AR

Practice address

1001 Towson Ave
Fort Smith, AR 72901

Phone

(479) 441-4000

NPI assigned

Oct 11, 2005

Last updated

Dec 23, 2008By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Mercy Medical Services, Inc

  • Multi-Specialty Clinic/Center
  • Fort Smith, AR
  • NPI 1750349932
  NPD (past)
• Sparks Medical Foundatin

  dba Waldron Place Internal Medicine

  • Durable Medical Equipment & Medical Supplies
  • Fort Smith, AR
  • NPI 1790880797
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229990400000",
    "number": "1083602353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2420",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729022420",
            "telephone_number": "479-709-7399",
            "fax_number": "479-709-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TOWSON AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72901",
            "telephone_number": "479-441-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADEL",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "R2414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105769001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100085510A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Powdrill Occupational Therapy, Inc.
• Christy Lynn Powdrill, O.T.R./L
• Megan Powell
• Jamie Leann Powers, APRN
• Zachary Miller Powers, DO
• Cheryl Ann Pratt, RN
• Julie M Pratt, PHARMD
• Parker Pratt, OD
• Premier Pediatrics PLLC
• Premise Health of Arkansas Medical P a (Premise Health - ArcBest)

• Internal Medicine Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.