Michael David Fratkin, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

G83364 Issued in CA

Practice address

2440 23Rd St Ste B
Eureka, CA 95501-3203

Phone

(707) 442-5683

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hospice/Palliative CareAlso: Internal Medicine

Education

University of Utah School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thrive Wellness IncorporatedGroup PAC ID 4284075177, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thrive Wellness Incorporated

  • Clinic/Center
  • Arcata, CA
  • NPI 1891556585
  Medicare reassignment Care Compare group NPD
• K'Ima:W Medical Center

  • Clinic/Center
  • Hoopa, CA
  • NPI 1306904222
  Medicare reassignment
• Humboldt Medical Specialists, Inc

  • Anesthesiology Physician
  • Eureka, CA
  • NPI 1821371576
  NPD (past)
• Providence Medical Foundation

  • Family Medicine Physician
  • Brea, CA
  • NPI 1871607762
  NPD (past)
• Quantum Healthcare Medical Associates Inc.

  • Hospitalist Physician
  • Colton, CA
  • NPI 1568490597
  NPD (past)
• St. Joseph Health Northern California, LLC

  • General Acute Care Hospital
  • Eureka, CA
  • NPI 1609858950
  NPD (past)
• Journey Clinical Psychiatry Ca PC

  • Psychiatry Physician
  • New York, NY
  • NPI 1922862309
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1508892738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 23RD ST STE B",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013203",
            "telephone_number": "707-442-5683",
            "fax_number": "707-442-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 23RD ST STE B",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013203",
            "telephone_number": "707-442-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRATKIN",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G83364",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G83364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G833640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlee Marie Franceschini, PPS
• Barbara Mary Franklin, RN
• Mariette Franklin
• Teresa Lynn Frankovich, MD
• Robin Faith Fraser, PA-C
• Eric Robert Frayer
• Justin William Fredericksen, LPN
• Eve Freedman, PPSC
• Priscilla Freeman, RN
• Veronica Espinoza Freeman

• Specialist in Eureka, CA
• Providers in Eureka, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.