Provider Demographics
NPI:1326016650
Name:PRASEK, JOSEPH P (MD)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:P
Last Name:PRASEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 10TH STREET E
Mailing Address - Street 2:
Mailing Address - City:DELL RAPIDS
Mailing Address - State:SD
Mailing Address - Zip Code:57022-1208
Mailing Address - Country:US
Mailing Address - Phone:605-428-5446
Mailing Address - Fax:
Practice Address - Street 1:111 10TH STREET E
Practice Address - Street 2:
Practice Address - City:DELL RAPIDS
Practice Address - State:SD
Practice Address - Zip Code:57022-1208
Practice Address - Country:US
Practice Address - Phone:605-428-5446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-11
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5214207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1876595OtherAMERICAS PPO
SD4996089OtherWELLMARK BCBS OF SD
SD4996090OtherWELLMARK BCBS OF SD
SD5611472Medicaid
57022A014OtherTRICARE
SD5611473Medicaid
240293OtherMIDLANDS CHOICE
SD5611470Medicaid
MN569141900Medicaid
AH9021034466OtherPREFERRED ONE
SD5214OtherDAKOTACARE
MN295R1PROtherBCBS OF MN
240293OtherMIDLANDS CHOICE
SD4996089OtherWELLMARK BCBS OF SD
SD4996090OtherWELLMARK BCBS OF SD