Active NPI
David F Pratt MD PS
- Plastic Surgery Physician
- Everett, WA
National Provider Identifier
1598865586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- DAVID F PRATT MD PS
- Doing business as
- David F Pratt MD PS
- Practice address
- 4005 Colby Ave
Everett, WA 98201-4989 - Phone
- (425) 258-3446
- Fax
- (425) 252-7321
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David F Pratt, MD
- Title
- MD
- Phone
- (425) 258-3446
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary | ||
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X |
Addresses
Primary practice location
4005 Colby Ave
Everett, WA 98201-4989
Mailing address
4005 Colby Ave
Everett, WA 98201
Phone (425) 258-3446
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1110840 | Medicaid | WA | |
| 126774 | Other | WA | L & I |
Other names 1
- David F Pratt MD PS
National Provider Directory
National Provider DirectoryLocations
4005 Colby Ave
#F
Everett, WA 98201
Phone (425) 258-3446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403568000000",
"number": "1598865586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4005 COLBY AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "98201",
"telephone_number": "425-258-3446",
"fax_number": "425-252-7321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4005 COLBY AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014989",
"telephone_number": "425-258-3446",
"fax_number": "425-252-7321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID F PRATT MD PS",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2014-06-24",
"status": "A",
"authorized_official_last_name": "PRATT",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "425-258-3446",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "2082S0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1110840",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "126774",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "David F Pratt MD PS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.