Organization Active NPI

David F Pratt MD PS

  • Plastic Surgery Physician
  • Everett, WA
National Provider Identifier
1598865586
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
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

Updated by the provider on Jun 24, 2014

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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X Primary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1110840MedicaidWA
126774OtherWAL & I

Other names 1

  • David F Pratt MD PS Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.