Individual provider Active NPI

Mark A Praeger, M.D.

  • Surgery Physician
  • Lawrence, KS
National Provider Identifier
1245299080
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
04-14233 Issued in KS
Practice address
330 Arkansas St
Suite 202
Lawrence, KS 66044-1335
Phone
(785) 505-2200
Fax
(785) 505-2222
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 04-14233 KS Primary

Addresses

Primary practice location

330 Arkansas St
Suite 202
Lawrence, KS 66044-1335

Mailing address

330 Arkansas St
Suite 202
Lawrence, KS 66044-1335
Phone (785) 505-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-14233KSMDSurgery Physician

Interoperability endpoints

  • Direct secure messaging: mark.praeger@direct.lmh.org

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1245299080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 ARKANSAS ST",
            "address_2": "SUITE 202",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441335",
            "telephone_number": "785-505-2200",
            "fax_number": "785-505-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ARKANSAS ST",
            "address_2": "SUITE 202",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441335",
            "telephone_number": "785-505-2200",
            "fax_number": "785-505-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAEGER",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-14233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.