Provider Demographics
NPI:1528150638
Name:JAMES PRESCOTT, M. D., P. A.
Entity type:Organization
Organization Name:JAMES PRESCOTT, M. D., P. A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:TAYLOR
Authorized Official - Last Name:PRESCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:620-241-7788
Mailing Address - Street 1:823 N. MAIN
Mailing Address - Street 2:
Mailing Address - City:MCPHERSON
Mailing Address - State:KS
Mailing Address - Zip Code:67460
Mailing Address - Country:US
Mailing Address - Phone:620-241-7788
Mailing Address - Fax:620-241-7804
Practice Address - Street 1:823 N. MAIN
Practice Address - Street 2:
Practice Address - City:MCPHERSON
Practice Address - State:KS
Practice Address - Zip Code:67460
Practice Address - Country:US
Practice Address - Phone:620-241-7788
Practice Address - Fax:620-241-7804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0424731261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS101145OtherBLUE CROSS BLUE SHIELD
KS101145OtherBLUE CROSS BLUE SHIELD
KS101145Medicare ID - Type Unspecified