MR. DERRICK PRATTE OLZACK (NPI# 1114456738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114456738 |
| Entity Type | Individual |
| Full Name | MR. DERRICK PRATTE OLZACK |
| Credential | P.A. |
| Practice Address |
1775 Third St Atwater CA 95301-3608 |
| Mailing Address |
1775 3rd St Atwater CA 95301-3608 |
| Practice Telephone | (209) 358-5611 |
| Practice Fax Number | 2093580219 |
| Mailing Telephone | 2093585611 |
| Mailing Fax Number | 2093580219 |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 54432 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1775 THIRD ST |
| City | ATWATER |
| State | CA |
| Zip Code | 95301-3608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043731052 | Tlc Non-emergency Medical Transportation | Transportation Broker | 6235 Josie Street, Atwater, CA 95301 | 2017-06-29 |
| 1740536168 | Richard Adjetey Sewoatsri | Pharmacist | 2511 Boulder Dr, Atwater, CA 95301 | 2012-08-03 |
| 1396003588 | Muhammad Iqbal Choudhry | Physician Assistant | 1775 Third Street, Atwater, CA 95301 | 2012-04-25 |
| 1003117185 | Barbara Gatlin | Social Worker | 540 E Bellevue Rd, Atwater, CA 95301 | 2010-11-05 |
| 1063722635 | Carlos C Say,m..d.inc | Internal Medicine | 329 East Bellevue Rd, Atwater, CA 95301 | 2010-10-18 |
| 1689851669 | Simplicity of Heart Counseling Service LLC | Family Medicine | 1201 Cedar Avenue, Atwater, CA 95301 | 2008-01-22 |
| 1154507374 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1651 Bellevue Rd, Atwater, CA 95301 | 2008-01-17 |
| 1881893600 | Cheryl Anne Assante | Registered Nurse | 6255 W. Camellia Drive, Atwater, CA 95301 | 2007-07-12 |
| 1669502027 | Atwater Chiropractic, Inc. | Chiropractor | 2601 First Street, Atwater, CA 95301 | 2007-03-06 |
| 1215002902 | Martin Kinsman Vacca | Pharmacist | 571 Bellevue Rd, Atwater, CA 95301 | 2006-11-21 |
| Find all providers in zip 95301 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215189477 | Merced Faculty Associates Medical Group Incorporated | Family Medicine | 1675 Bellevue Rd, Atwater, CA 95301-2608 | 2008-10-21 |
| 1689851669 | Simplicity of Heart Counseling Service LLC | Family Medicine | 1201 Cedar Avenue, Atwater, CA 95301 | 2008-01-22 |
| 1831165976 | Stephen C Olsen | Family Medicine | 126 N 4th St, Atwater, MN 56209 | 2006-02-28 |
| 1730150897 | Eric C. Disbrow | Family Medicine | 1775 3rd St, Atwater, CA 95301-3608 | 2006-01-27 |
| 1548778954 | Merced Faculty Associates Medical Group Incorporated | Family Medicine | 1675 Shaffer Rd, Atwater, CA 95301-4456 | 2018-01-19 |
| 1861839151 | Jose Ignacio Buenrostro | Family Medicine | 3605 Hospital Rd, Atwater, CA 95301-5173 | 2013-05-28 |
| 1114168887 | Velma E Macias | Family Medicine | 1775 3rd St, Atwater, CA 95301-3608 | 2009-03-10 |
| 1205034964 | Merced Faculty Associates Medical Group Incorporated | Family Medicine | 1675 Shaffer Rd, Atwater, CA 95301-4456 | 2007-07-04 |
| 1558438622 | William Earl Nation | Family Medicine | 1775 3rd St, Atwater, CA 95301-3608 | 2006-11-30 |
| 1215040563 | Rodrigo Dezubiria | Family Medicine | 3605 Hospital Rd, Atwater, CA 95301-5173 | 2006-08-17 |
| Find all providers in ATWATER | ||||
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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.