James F. Pradko, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301060263 Issued in MI

Practice address

32740 23 Mile Rd
Chesterfield, MI 48047-1978

Phone

(586) 725-7686

Fax

(586) 725-7303

NPI assigned

Feb 22, 2006

Last updated

May 22, 2012By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lakeshore Medical Center, P.C.

  • Family Medicine Physician
  • Clinton TWP, MI
  • NPI 1437239043
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1770558769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32740 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480471978",
            "telephone_number": "586-725-7686",
            "fax_number": "586-725-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32740 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480471978",
            "telephone_number": "586-725-7686",
            "fax_number": "586-725-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADKO",
        "first_name": "JAMES",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301060263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Pope
• Holly Rose Porter
• Anijah Postell
• Tamika Powers
• Jacqueline Ann Pradko, M.D.
• Presbyterian Village East (The Village of East Harbor)
• Presbyterian Village East (The Village of East Harbor)
• Alyson Price
• Sarah Lynn Pridemore
• Nirahia Primm

• Family Medicine Physician in Chesterfield, MI
• Providers in Chesterfield, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.