Alexander Pruitt, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

29040 Issued in IA

Practice address

20 W 6TH St
Spencer, IA 51301-3901

Phone

(712) 580-2022

Fax

(712) 580-2024

NPI assigned

Aug 25, 2006

Last updated

Jul 25, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in IA

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.

Enrollment records 1

Specialty

Orthopedic SurgeryAlso: Sports Medicine

Education

Creighton University School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Spencer Imaging Center, LLC

  • Radiology Clinic/Center
  • Spencer, IA
  • NPI 1568183499
  Medicare reassignment NPD Authorized official
• Orthopaedics, PC

  • Orthopaedic Surgery Physician
  • Spencer, IA
  • NPI 1477639235
  NPD Authorized official
• Orthopaedics PC

  • Orthopaedic Surgery Physician
  • Spencer, IA
  • NPI 1861463473
  Authorized official Same address or phone
• Modern Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1811752900
  NPD
• Thomas Physical Therapy Professionals LLC

  • Orthopedic Physical Therapist
  • Spencer, IA
  • NPI 1447434659
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1760599450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W 6TH ST",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513013901",
            "telephone_number": "712-580-2022",
            "fax_number": "712-580-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W 6TH ST",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513013901",
            "telephone_number": "712-580-2022",
            "fax_number": "712-580-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "29040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HLTH PLNS",
            "identifier": "29770",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "36190",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "1948",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7712720",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "204803800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00266324",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1091892",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Lee Poulsen Schoenherr
• James Repass Power, MSW, PHD
• Premier Psychiatry, LLC
• Glenn Geoffrey Preston, M.D.
• Priority Health Northwest PLLC
• Rebecca L Putrah, ARNP, AGACNP-BC
• Erin R Rabel, D.C.
• Rachele Randall, PA-C
• Jennifer Lynn Ransom, RD/LD
• Angus C Raymond, CADC

• Orthopaedic Surgery Physician in Spencer, IA
• Providers in Spencer, IA by specialty
• Orthopaedic Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.