Individual
MICHAEL TODD PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16121 PARADISE ST, OVERLAND PARK, KS 66221-2955
(913) 897-1398
Mailing address
16121 PARADISE ST, OVERLAND PARK, KS 66221-2955
(913) 897-1398
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0430500
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200256170C
—
KS
05
—
200256170D
—
KS
05
—
207377300
—
MO
01
—
39363011
BCBS OF KCMO
—
01
—
39363021
BCBS OF KC MO
—
01
—
P00436002
RR MEDICARE
KS
01
—
P00436177
RR MEDICARE
KS
Enumeration date
06/15/2006
Last updated
01/08/2026
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