Active NPI
Harrison W. Pratt II, DO
- Anatomic Pathology & Clinical Pathology Physician
- Des Moines, IA
National Provider Identifier
1639282650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 1506
- Practice address
- 2231 NW 108TH St
Des Moines, IA 50325-3729 - Phone
- (515) 334-7524
- Fax
- (515) 334-7528
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 1506 | IA | Primary |
Addresses
Primary practice location
2231 NW 108TH St
Des Moines, IA 50325-3729
Mailing address
1111 6TH Ave
Mercy Medical Center - Pathology Dept
Des Moines, IA 50314-2610
Phone (515) 247-3115
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1035451 | Medicaid | IA | |
| 39057 | Other | IA | WELLMARK BC/BS |
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 Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1506 | IA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Clinic of Southern Iowa, PC | Past | Accepting new patients | |
| Pathology Associates of Central Iowa, PLC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Des Moines, IA
- NPI 1639107295
-
- Surgery Physician
- Chariton, IA
- NPI 1700967510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639282650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 6TH AVE",
"address_2": "MERCY MEDICAL CENTER - PATHOLOGY DEPT",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503142610",
"telephone_number": "515-247-3115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2231 NW 108TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503253729",
"telephone_number": "515-334-7524",
"fax_number": "515-334-7528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "HARRISON",
"middle_name": "W.",
"name_suffix": "II",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IA",
"license": "1506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1035451",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BC/BS",
"identifier": "39057",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.