PRATT MEDICAL CENTER LTD (NPI# 1316973555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316973555 |
| Entity Type | Organization |
| Organization Name | PRATT MEDICAL CENTER LTD |
| Other Organization Name | PRATT HEALTHCARE |
| Practice Address |
1451 Hospital Dr Fredericksburg VA 22401-8424 |
| Mailing Address |
Po Box 8310 Roanoke VA 24014-0310 |
| Practice Telephone | 5407862100 |
| Practice Fax Number | 5407860677 |
| Mailing Telephone | 5403453556 |
| Mailing Fax Number | 5403422193 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2019-06-13 |
| Authorized Official Name | SCOTT WALKER (PRESIDENT) |
| Authorized Official Telephone | 5403453556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204E00000X | Oral & Maxillofacial Surgery | 0101034704 | VA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 0101234778 | VA | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
0101236985 | VA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 0101237076 | VA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | 0101231223 | VA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 207Q00000X | Family Medicine | 0101033516 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE GROUP | C02375 | 01 |
| VA | MEDICARE RAILROAD GROUP | CA9037 | 01 |
| Other Name | Type Code |
|---|---|
| PRATT HEALTHCARE | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1171 Central Park Blvd, Fredericksburg, VA 224014930 | 5407862100 | |
| 4701 Spotsylvania Pkwy, Fredericksburg, VA 224079435 | 5407857810 | |
| 95 Dunn Dr, Stafford, VA 225561503 | 5406592111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003840950 | Pratt Medical Center Ltd | Clinical Medical Laboratory | 1451 Hospital Dr, Fredericksburg, VA 22401-8424 | 2006-07-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Pratt Medical Center Ltd. | 1451 Hospital Dr Ste 202, Fredericksburg, Virginia 22401-8424 |
| Street Address |
1451 HOSPITAL DR |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-8424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487656898 | Vicki Ann Watson | Nurse Practitioner | 1451 Hospital Dr, Fredericksburg, VA 22401-8424 | 2005-08-15 |
| 1649751975 | Mary Esancy | Nurse Practitioner | 1451 Hospital Dr, Fredericksburg, VA 22401-8424 | 2018-08-24 |
| 1487038212 | Sentara Medical Group | Internal Medicine | 1451 Hospital Dr, Fredericksburg, VA 22401-8424 | 2015-07-10 |
| 1558796359 | Jennifer Lee-ann Parker | Advanced Practice Midwife | 1451 Hospital Dr, Fredericksburg, VA 22401-8424 | 2013-09-11 |
| 1184919805 | Sarah Elizabeth Prince | Family Medicine | 1451 Hospital Dr, Ste 102, Fredericksburg, VA 22401-8424 | 2011-06-10 |
| 1225105497 | Pratt Cardiac Diagnostic Center | Nuclear Medicine | 1451 Hospital Dr, Fredericksburg, VA 22401-8424 | 2006-11-30 |
| 1013000876 | Julie Ann Weathers | Advanced Practice Midwife | 1451 Hospital Dr, Fredericksburg, VA 22401-8424 | 2006-10-02 |
| 1801907647 | Brenda W Hagan | Nurse Practitioner | 1451 Hospital Dr, Fredericksburg, VA 22401-8424 | 2006-08-31 |
| 1982713491 | Jean M. Hoppe | Dietitian, Registered | 1451 Hospital Dr, Fredericksburg, VA 22401-8424 | 2006-08-29 |
| 1003840950 | Pratt Medical Center Ltd | Clinical Medical Laboratory | 1451 Hospital Dr, Fredericksburg, VA 22401-8424 | 2006-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| 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 |
|---|---|---|---|---|
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1477905784 | Metropolitan Health Care Providers, Inc | Family Medicine | 12702 Maxwell Ct, Fredericksburg, VA 22407-2272 | 2016-07-11 |
| 1497106504 | Centercare Family Practice, LLC | Family Medicine | 2565 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2016-06-29 |
| 1477933851 | Hill Country Integrative Medicine | Family Medicine | 1603 E Main St Unit A, Fredericksburg, TX 78624-5450 | 2015-06-01 |
| 1043563174 | Primary and Urgent Care LLC | Family Medicine | 10009 South Point Parkway, Suite # 200, Fredericksburg, VA 22407 | 2012-10-26 |
| 1225322639 | Raymond Smith | Family Medicine | 608 Royal Oaks Loop, Fredericksburg, TX 78624-6663 | 2011-06-02 |
| 1649414137 | Donna Roxanne Richards | Family Medicine | 21 Dabney Ct, Fredericksburg, VA 22405-2173 | 2009-04-28 |
| 1235375007 | Nicquia Spain | Family Medicine | 4535 Spotsylvania Pkwy, Fredericksburg, VA 22408-7768 | 2008-12-30 |
| 1952520330 | Naeem Ahmad | Family Medicine | 4510 Plank Rd, Suite 200, Fredericksburg, VA 22407-0138 | 2007-04-24 |
| 1154545028 | Muhammad Jadoon | Family Medicine | 1000 Sam Perry Blvd, Fredericksburg, VA 22405 | 2007-04-12 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
Please comment or provide details below to improve the information on PRATT MEDICAL CENTER LTD.
| 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.