Prairie Emergency Physicians, LLP

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

PRAIRIE EMERGENCY PHYSICIANS, LLP

Practice address

2300 N Edward St
Decatur, IL 62526-4163

Phone

(217) 876-8121

NPI assigned

Apr 21, 2015

Organization subpart

No

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

Authorized official

Name

Derik King, M.D.NPI 1376560912

Title

Managing Partner

Phone

(866) 916-5259

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derik K King, M.D., FACEP

  • Emergency Medicine Physician
  • Richmond, VA
  • NPI 1376560912
  NPD (past) Authorized official

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1376930008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMIT DR # 1367",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606750001",
            "telephone_number": "800-210-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N EDWARD ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264163",
            "telephone_number": "217-876-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE EMERGENCY PHYSICIANS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DERIK",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "866-916-5259",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Powell
• Manjeshwar B. Prabhu, M.D.
• Practice Management Associates LLC
• Prairie Compounding Pharmacies Corporation
• Prairie Creek Village, LLC
• Prairie Eye Center, LTD
• Prairie Oncology Management Services Pharmacy
• Prairieland Service Coordination Inc
• Rita A Prater Crouch, CRNA
• Preferred Covid Solutions LLC

• Emergency Medicine Physician in Decatur, IL
• Providers in Decatur, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.