PRATT CARDIAC DIAGNOSTIC CENTER (NPI# 1225105497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225105497 |
| Entity Type | Organization |
| Organization Name | PRATT CARDIAC DIAGNOSTIC CENTER |
| Other Organization Name | PRATT HEALTHCARE CARDIAC DIAGNOSTIC CENTER |
| Practice Address |
1451 Hospital Dr Fredericksburg VA 22401-8424 |
| Mailing Address |
Po Box 8310 Roanoke VA 24014-0310 |
| Practice Telephone | 5403685384 |
| Practice Fax Number | 5403743292 |
| Mailing Telephone | 5403453556 |
| Mailing Fax Number | 5403422193 |
| Enumeration Date | 2006-11-30 |
| 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 |
|---|---|---|---|---|---|
| Y | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
0101018510 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | AETNA NON HMO | 7277516 | 01 |
| VA | MCR RAILROAD GROUP | CA9037 | 01 |
| VA | MEDICARE RAILROAD | 080024148 | 01 |
| VA | MAMSI | 211753 | 01 |
| VA | AETNA HMO | 3409592 | 01 |
| VA | ANTHEM | 237341 | 01 |
| VA | MEDICARE GROUP | C02375 | 01 |
| Other Name | Type Code |
|---|---|
| PRATT HEALTHCARE CARDIAC DIAGNOSTIC CENTER | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1316973555 | Pratt Medical Center Ltd | Oral & Maxillofacial Surgery | 1451 Hospital Dr, Fredericksburg, VA 22401-8424 | 2006-06-22 |
| 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 | 207UN0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Cardiology |
| A nuclear medicine physician who specializes in nuclear cardiology. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992137590 | Magnus Heart and Vascular, Inc. | Nuclear Medicine | 4004 Genesee Pl, Suite 105, Woodbridge, VA 22192-8303 | 2013-08-06 |
| 1093888745 | Christopher S Nicholson | Nuclear Medicine | 7702 East Parham Road, Suite 106, Richmond, VA 23294 | 2006-11-17 |
| 1902820608 | Cardiology Associates, P.C. | Nuclear Medicine | 1030 Hillpoint Blvd N, Suffolk, VA 23434-8470 | 2006-07-26 |
| 1750311130 | Brigid A Castro | Nuclear Medicine | 2722 Merrilee Dr, Ste. 230, Fairfax, VA 22031-4400 | 2006-07-03 |
| 1033166335 | Salvador Bernard Trinidad | Nuclear Medicine | 736 Battlefield Blvd N, Radiology Department, Chesapeake, VA 23320-4941 | 2006-05-30 |
| City | FREDERICKSBURG |
| Zip Code | 22401 |
Please comment or provide details below to improve the information on PRATT CARDIAC DIAGNOSTIC CENTER.
| 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.