Elizabeth Prater, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

29961 Issued in OK

Practice address

13933 Technology Dr Ste B
Oklahoma City, OK 73134-1038

Phone

(405) 673-4980

Fax

(847) 787-1484

NPI assigned

Jun 23, 2007

Last updated

Feb 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Anne Farley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Sep 1, 2018 through Sep 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Healthy Skin Dermatology of Oklahoma PLLC

  • Medical Specialty Clinic/Center
  • Oklahoma City, OK
  • NPI 1184271793
  NPD Authorized official

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

{
    "created_epoch": "1182556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1699971911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13933 TECHNOLOGY DR STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341038",
            "telephone_number": "405-673-4980",
            "fax_number": "847-787-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13933 TECHNOLOGY DR STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341038",
            "telephone_number": "405-673-4980",
            "fax_number": "847-787-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATER",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-23",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "29961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "FARLEY",
            "middle_name": "ANNE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rakesh No Middle Name Prasad, M.D.
• Sujata Prasad, M.D.
• Suraj Pratap, MD
• Genaro Pratcher
• Barbara Marie Prater, OTR/L
• Jennifer Sarah Prater
• Scott Douglass Prater, M.D.
• Garrett Prather, M. ED., NCC
• Kiana Yang Prather, MD
• Melissa Lea Prather

• Dermatology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Dermatology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.