DR. MARK ALLEN PRATS (NPI# 1831579275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831579275 |
| Entity Type | Individual |
| Full Name | DR. MARK ALLEN PRATS |
| Credential | M.D. |
| Practice Address |
101 Bodin Circle 60 Mdg/mdds Travis Afb CA 94535 |
| Mailing Address |
101 Bodin Circle 60 Mdg/mdds Travis Afb CA 94535-1800 |
| Practice Telephone | 7074233735 |
| Mailing Telephone | 5034877599 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
101 BODIN CIRCLE 60 MDG/MDDS |
| City | TRAVIS AFB |
| State | CA |
| Zip Code | 94535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356338164 | Jill Janine O'rear | Nurse Practitioner | 101 Bodin Circle, David Grant Medical Center, Travis Afb, CA 94535-1800 | 2005-10-06 |
| 1932760006 | Katherine L Knott | Nurse Anesthetist, Certified Registered | 101 Bodin Circle, Travis Afb, CA 94535-1800 | 2019-06-27 |
| 1902399132 | Michael Creighton Johnson | Student in an Organized Health Care Education/Training Program | 101 Bodin Circle, Travis Afb, CA 94535 | 2018-06-12 |
| 1386152338 | Andrew Y Cho | Pharmacist | 101 Bodin Circle, Travis Afb, CA 94535 | 2018-01-11 |
| 1891242483 | Emily Roark | Nurse Anesthetist, Certified Registered | 101 Bodin Circle, 60 Mdg/sgcj, Travis Afb, CA 94535-1809 | 2016-09-01 |
| 1679936496 | Royce Molick | Psychiatry & Neurology | 101 Bodin Circle, Travis Afb, CA 94535-1800 | 2016-03-30 |
| 1881074953 | Alice Ann Deden | Family Medicine | 101 Bodin Circle, Travis Afb, CA 94535-1800 | 2015-06-04 |
| 1104246107 | Allison Elizabeth Tucker | Obstetrics & Gynecology | 101 Bodin Circle, 60 Mdg/sgcg, Travis Afb, CA 94535 | 2014-04-17 |
| 1063786325 | Rin Okano | Pharmacist | 101 Bodin Circle, David Grant Medical Center, Travis Afb, CA 94534 | 2012-03-05 |
| 1326326083 | Hernandez Delgado Perez | Registered Nurse | 101 Bodin Circle, David Grant Medical Center, Travis Afb, CA 94535 | 2011-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487711 | Sheila C Flood | Student in an Organized Health Care Education/Training Program | 101 Biden Circle, Fairfield, CA 94535 | 2020-04-28 |
| 1568081255 | Miguel Julian Moreno | Student in an Organized Health Care Education/Training Program | 690 Airmen Drive, Travis Afb, CA 94535 | 2020-04-13 |
| 1174096101 | Zlatoslava Karga | Nurse Practitioner | 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 | 2019-01-02 |
| 1437648292 | Luke C Vera | Dentist | David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 | 2018-05-08 |
| 1588163430 | Sanaz Ziad | Pharmacist | 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 | 2018-02-06 |
| 1194265686 | Geoffrey Johnston | Dentist | 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 | 2017-03-02 |
| 1336693407 | Hannah Isla Nordwall | Social Worker | 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 | 2016-08-06 |
| 1184177149 | Taylor Murrie-robinson | Social Worker | 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 | 2016-07-26 |
| 1952759607 | Eric Kincaid-sharp | General Practice | 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 | 2016-06-02 |
| 1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
| Find all providers in zip 94535 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568081255 | Miguel Julian Moreno | Student in an Organized Health Care Education/Training Program | 690 Airmen Drive, Travis Afb, CA 94535 | 2020-04-13 |
| 1144854159 | Nicholas Adams | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Ste 2, Travis Afb, CA 94535-1809 | 2020-02-28 |
| 1538768114 | Jordan Rose | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-10-23 |
| 1598381089 | Aaron J Surbaugh | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-06-19 |
| 1922622430 | William F Monat | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809 | 2020-05-31 |
| 1063049799 | Tanner C Carlock | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809 | 2020-03-24 |
| 1427681196 | Bradley Burkey | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-02-20 |
| 1821629288 | Gloria Calvillo | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-02-03 |
| 1366003105 | Rebecca Anne O'neill | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2019-06-24 |
| 1225696057 | Zari Cofield | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2019-06-05 |
| Find all providers in TRAVIS AFB | ||||
| City | TRAVIS AFB |
| Zip Code | 94535 |
Please comment or provide details below to improve the information on DR. MARK ALLEN PRATS.
| 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.