Pratt Medical Center,LTD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

0101033516 Issued in VA

Legal business name

PRATT MEDICAL CENTER,LTD

Practice address

12101 Carol LN
Fredericksburg, VA 22407-6101

Phone

(540) 785-7200

Fax

(540) 786-8927

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Scott Walker

Title

President

Phone

(540) 345-3556

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• PRATT HEALTHCARE RADIOLOGY Doing business as

Tax ID family

Pratt Cardiac Diagnostic Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pratt Cardiac Diagnostic Center

  • Nuclear Cardiology Physician
  • Fredericksburg, VA
  • NPI 1225105497
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Ryan Anderson, M.D.

  • Family Medicine Physician
  • Fredericksburg, VA
  • NPI 1689653750
  NPD (past)
• Allison H Goodlett, M.D.

  • Pediatrics Physician
  • Fredericksburg, VA
  • NPI 1811976046
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1669540894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8310",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240140310",
            "telephone_number": "540-345-3556",
            "fax_number": "540-342-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 CAROL LN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076101",
            "telephone_number": "540-785-7200",
            "fax_number": "540-786-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATT MEDICAL CENTER,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-345-3556"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101033516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI OTHER",
            "identifier": "211753",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5986659",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080024148",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI MRI",
            "identifier": "2120696",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR RAILROAD GROUP",
            "identifier": "CA9037",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "175407",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2102141",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRATT HEALTHCARE RADIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashok Joshwa Prasad, M.D.
• Pooja Railan Prasad, D.O.
• Pratt Cardiac Diagnostic Center
• Pratt Medical Center LTD
• Pratt Medical Center LTD
• Alec Pratt, MS, CCC-SLP
• Preferred Pediatrics at Snowden
• Premier Cardiac and Vascular LLC
• Premier Eyecare, Angela Tsai, O.D. and Associates, P.C.
• Premier Physical Therapy

• All providers in Fredericksburg, VA
• Diagnostic Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.