NPIMap

Organization Active NPI

Pratt Internal Medicine Group PA

  • Rural Health Clinic/Center
  • Pratt, KS
National Provider Identifier
1174570386
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PRATT INTERNAL MEDICINE GROUP PA
Practice address
420 Country Club Rd
Pratt, KS 67124-3125
Phone
(620) 672-7415
Fax
(620) 672-7414
NPI assigned
May 31, 2006
Last updated
Feb 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Dr. Daniel J Suiter, M.D.NPI 1447297841
Title
President of Corporation
Phone
(620) 672-7415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

420 Country Club Rd
Pratt, KS 67124-3125

Mailing address

420 Country Club Rd
Pratt, KS 67124-3125
Phone (620) 672-7415

Other identifiers 2

IdentifierTypeStateIssuer
000811OtherKSRURAL HEALTH BLUE CROSS
100088840BMedicaidKS

National Provider Directory

National Provider Directory

Locations

420 Country Club Rd
#100
Pratt, KS 67124
Phone (316) 672-7411

420 Country Club Rd
Ste 100
Pratt, KS 67124
Phone (620) 672-7415

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1174570386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 COUNTRY CLUB RD",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671243125",
            "telephone_number": "620-672-7415",
            "fax_number": "620-672-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 COUNTRY CLUB RD",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671243125",
            "telephone_number": "620-672-7415",
            "fax_number": "620-672-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATT INTERNAL MEDICINE GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "SUITER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "620-672-7415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RURAL HEALTH BLUE CROSS",
            "identifier": "000811",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100088840B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pratt, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.