CHARLES ALLAN PRATT (NPI# 1417084229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417084229 |
| Entity Type | Individual |
| Full Name | CHARLES ALLAN PRATT |
| Credential | M.D. |
| Practice Address |
3340 Providence Dr Suite 567 Anchorage AK 99508-4616 |
| Practice Telephone | 9072765517 |
| Practice Fax Number | 9072793655 |
| Mailing Telephone | 9072765517 |
| Mailing Fax Number | 9072793655 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
4882 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD22761 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972166130 | Charles Pratt | Pharmacist | 15240 E Iliff Ave, Aurora, CO 80014-4516 | 2019-04-15 |
| 1205960507 | Charles A Pratt | Pharmacist | 22 Spruce Street, East Millinocket, ME 04430 | 2007-03-16 |
| 1497814347 | Charles Robert Pratt | Dentist | 194 Parrish St, Canandaigua, NY 14424 | 2006-12-07 |
| 1720420490 | Charles P Pratt | Social Worker | 167 Polk St, Watertown, Watertown, NY 13601-2097 | 2013-07-23 |
| 1548303001 | Charles F Pratt | Surgery | 2045 Franklin St, Denver, CO 80205-5437 | 2007-02-15 |
| 1093822306 | Charles D Pratt | Surgery | 5000 Memorial Dr, Two Rivers, WI 54241 | 2006-08-23 |
| 1396759239 | Charles Randall Pratt | Pharmacist | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2006-07-28 |
| 1932181484 | Charles Edward Pratt | Internal Medicine | 75 Arch St, Suite 412, Akron, OH 44304-1429 | 2005-11-18 |
| Street Address |
3340 PROVIDENCE DR SUITE 567 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992706865 | Evelyn D Rider | Pediatrics | 3340 Providence Dr, Suite 366, Anchorage, AK 99508-4616 | 2005-08-02 |
| 1265967137 | Providence Imaging Center | Clinic/Center | 3340 Providence Dr, Anchorage, AK 99508 | 2017-04-27 |
| 1053844019 | Stephanie S Fortt | Social Worker | 3340 Providence Dr, Suite A351, Anchorage, AK 99508-4691 | 2017-04-06 |
| 1407306434 | Haven Medical, LLC | Physician Assistant | 3340 Providence Dr, Ste 466, Anchorage, AK 99508-4691 | 2016-10-13 |
| 1962952234 | Megan Hurlburt | Dietitian, Registered | 3340 Providence Dr, Suite 358, Anchorage, AK 99508-4691 | 2016-10-10 |
| 1770968158 | Zachary Johnson | Physician Assistant | 3340 Providence Dr, Suite #a565, Anchorage, AK 99508-4691 | 2015-07-27 |
| 1235478553 | Jessica H Anderson | Physician Assistant | 3340 Providence Dr, Suite 565, Anchorage, AK 99508-4691 | 2013-02-06 |
| 1104174275 | Nicole Kopacz | Nurse Practitioner | 3340 Providence Dr, Suite 452, Anchorage, AK 99508-4691 | 2012-08-21 |
| 1922372598 | Northern Lights Surgical Associates, P.C. | Specialist | 3340 Providence Dr, Suite 363, Anchorage, AK 99508-4691 | 2012-02-29 |
| 1831480151 | Todd Alan Sneesby | Dentist | 3340 Providence Dr, Suite 560, Anchorage, AK 99508-4627 | 2011-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710150545 | Padade Maria Vue | Pediatrics | 3340 Providence Dr Ste A-567, Anchorage, AK 99508-4691 | 2008-04-13 |
| 1568704229 | That's My Peds Gi Pediatric Gastroenterology, LLC | Pediatrics | 4120 Laurel St, Suite 201, Anchorage, AK 99508-5392 | 2013-03-20 |
| 1962539775 | Pediatric Gastroenterology of Alaska, LLC | Pediatrics | 3340 Providence Dr, Suite 567, Anchorage, AK 99508-4616 | 2007-02-28 |
| 1194882282 | Gregory John Semancik | Pediatrics | 4120 Laurel St, Suite 201, Anchorage, AK 99508-5392 | 2007-01-02 |
| 1457333247 | Claire Marie Wilson | Pediatrics | 3340 Providence Dr, Tower A, Suite 567, Anchorage, AK 99508-4691 | 2005-11-16 |
Please comment or provide details below to improve the information on CHARLES ALLAN PRATT.
| 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.