DR. CHARLES D PRATT (NPI# 1093822306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093822306 |
| Entity Type | Individual |
| Full Name | DR. CHARLES D PRATT |
| Credential | MD |
| Practice Address |
5000 Memorial Dr Two Rivers WI 54241 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 9207945125 |
| Mailing Telephone | 4146476326 |
| Mailing Fax Number | 4146718860 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 35785 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA NUMBER | BP4210162 | 01 | |
| WI | 34180800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972166130 | Charles Pratt | Pharmacist | 15240 E Iliff Ave, Aurora, CO 80014-4516 | 2019-04-15 |
| 1205960507 | Charles A Pratt | Pharmacist | 22 Spruce Street, East Millinocket, ME 04430 | 2007-03-16 |
| 1497814347 | Charles Robert Pratt | Dentist | 194 Parrish St, Canandaigua, NY 14424 | 2006-12-07 |
| 1720420490 | Charles P Pratt | Social Worker | 167 Polk St, Watertown, Watertown, NY 13601-2097 | 2013-07-23 |
| 1417084229 | Charles Allan Pratt | Pediatrics | 3340 Providence Dr, Suite 567, Anchorage, AK 99508-4616 | 2007-02-28 |
| 1548303001 | Charles F Pratt | Surgery | 2045 Franklin St, Denver, CO 80205-5437 | 2007-02-15 |
| 1396759239 | Charles Randall Pratt | Pharmacist | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2006-07-28 |
| 1932181484 | Charles Edward Pratt | Internal Medicine | 75 Arch St, Suite 412, Akron, OH 44304-1429 | 2005-11-18 |
| Street Address |
5000 MEMORIAL DR |
| City | TWO RIVERS |
| State | WI |
| Zip Code | 54241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184690133 | Manuel A. Rivera | Emergency Medicine | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2006-02-28 |
| 1902423320 | Erin Christine Paschke | Physical Therapist | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2020-07-01 |
| 1255842498 | Emily Heimerl | Occupational Therapy Assistant | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2017-10-16 |
| 1952850497 | Ann E Farber | Nurse Practitioner | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2016-09-26 |
| 1477007888 | Amy Hagen | Specialist/Technologist | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2016-08-15 |
| 1386090512 | Nathan Wallenfang | Nurse Practitioner | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2016-05-06 |
| 1962875385 | Allison Pierce | Specialist/Technologist | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2015-11-06 |
| 1982075420 | Koua Lor | Occupational Therapist | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2015-10-09 |
| 1447620042 | Kelly A. Litersky | Dietitian, Registered | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2015-09-25 |
| 1821466673 | Carla Jean Stevens | Dietitian, Registered | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2015-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629617667 | Karrie May Kudrna Behrent | Counselor | Phoenix Behavioral Health Services LLC, 3120 Memorial Dr., Two Rivers, WI 54241 | 2019-12-21 |
| 1972147460 | Linda Sand | Technician | 11409 Wedge Dr., Two Rivers, WI 54241 | 2019-10-29 |
| 1710536446 | Margaret Smith | Technician | 1916 Roosevelt Ave, Two Rivers, WI 54241 | 2019-09-05 |
| 1770967572 | Baycare Clinic LLP | Ophthalmology | 1603 Washington Street, Two Rivers, WI 54241 | 2015-07-13 |
| 1194091322 | Fisher Chiropractic and Rehab Center LLC | Chiropractor | 1817 Washington Street, Two Rivers, WI 54241 | 2012-04-02 |
| 1396075016 | Holly Lynn Struck | Physical Therapist | 5300 Memorial Drive, Two Rivers, WI 54241 | 2009-12-31 |
| 1558451906 | David James Loritz | Dentist | 1413 22nd St, Two Rivers, WI 54241 | 2006-10-14 |
| 1598737744 | City of Two Rivers | Ambulance | 2122 Monroe St, Two Rivers, WI 54241 | 2006-02-02 |
| 1689156481 | Tyler Luedtke | Physical Therapist | 5300 Memorial Dr, Two Rivers, WI 54241 | 2018-08-29 |
| 1912426925 | Amy C Nowak | Nurse Practitioner | 2219 Garfield St, Two Rivers, WI 54241 | 2017-09-12 |
| Find all providers in zip 54241 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871855643 | Kyle P Wood | Surgery | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2012-06-07 |
| 1639324981 | Rebecca Jean Johnson | Surgery | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2008-11-28 |
| 1053517292 | William Robert Morgan | Surgery | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2007-06-25 |
| 1861509762 | John Charles Zeldenrust | Surgery | 5300 Memorial Dr, Two Rivers, WI 54241 | 2006-08-24 |
| 1013947225 | David Dean Copp | Surgery | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861969149 | Watertown Physician Practices LLC | Surgery | 123 Hospital Dr Ste 2009, Watertown, WI 53098-3320 | 2018-10-25 |
| 1356847644 | Laura K Krecko | Surgery | Uw Hospital and Clinics 600 Highland Avenue, Madison, WI 53792-0001 | 2018-04-04 |
| 1447785332 | Patrick Beard Schwartz | Surgery | Uw Hopsitals and Clinics, 600 Highland Ave., Madison, WI 53792-0001 | 2017-04-27 |
| 1700263720 | Marianna Dubovska | Surgery | 902 Riverside Dr Ste 201, Waupaca, WI 54981-1992 | 2015-04-28 |
| 1366833394 | Beaver Dam Community Hospitals, Inc | Surgery | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | 2015-02-12 |
| 1972901262 | The Healthy Vein, Sc | Surgery | N79w14684 Appleton Ave, Menomonee Falls, WI 53051-4308 | 2014-12-18 |
| 1326453200 | Chey V Collura | Surgery | 2700 W 9th Ave Ste 310, Oshkosh, WI 54904 | 2014-06-30 |
| 1538570338 | Nicholas Sich | Surgery | 2901 W Kinnickinnic River Pkwy Dept Ste 540, Milwaukee, WI 53215-3677 | 2014-05-14 |
| Find all providers with the same taxonomy | ||||
| City | TWO RIVERS |
| Zip Code | 54241 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.