ADAM MICHAEL PRATT


Address: 5050 N Clinton St, Fort Wayne, IN 46825-5886
Phone: 2604848551

ADAM MICHAEL PRATT (NPI# 1942745682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942745682
Entity Type Individual
Full Name ADAM MICHAEL PRATT
Credential PA-C
Practice Address 5050 N Clinton St
Fort Wayne
IN 46825-5886
Mailing Address 5052 N Clinton St
Fort Wayne
IN 46825-5822
Practice Telephone 2604848551
Practice Fax Number 2604825060
Mailing Telephone 2604848551
Mailing Fax Number 2604825060
Enumeration Date 2017-01-05
Last Update Date 2018-10-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 10002193A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 300007779 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
11136 Parkview Circle Dr, Fort Wayne, IN 468451730 2604848551 2604825060
1500 Provident Dr Ste B, Warsaw, IN 465803297 5742698301 5742698302
7920 W Jefferson Blvd, Fort Wayne, IN 468044168 2604848551 2604825060
7920 W Jefferson Blvd Ste 100, Fort Wayne, IN 468044166 2604848551 2604825060

Other Providers ADAM PRATT

NPI Name Taxonomy Address Enumeration
1770583767 Adam Matthew Pratt Optometrist 1015 Highway 80, Suite A, San Marcos, TX 78666-8111 2005-07-30
1417283227 Adam B. Pratt Physician Assistant 1 Medical Center Dr, Morgantown, WV 26506 2009-10-29

Office Location

Street Address 5050 N CLINTON ST
City FORT WAYNE
State IN
Zip Code 46825-5886

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144228529 Scott Davis Anesthesiology 5050 N Clinton St, Fort Wayne, IN 46825-5886 2005-07-11
1477179737 Mirsad Maglajlic Nurse Anesthetist, Certified Registered 5050 N Clinton St, Fort Wayne, IN 46825-5886 2020-06-23
1053937961 Kay Elizabeth Brown Registered Nurse 5050 N Clinton St, Fort Wayne, IN 46825-5886 2020-06-17
1831714716 Raelene Marie Lamott Licensed Practical Nurse 5050 N Clinton St, Fort Wayne, IN 46825-5886 2020-06-16
1982184701 Angela R Kesler Physical Therapist 5050 N Clinton St, Fort Wayne, IN 46825-5886 2018-08-21
1912485947 Kaley Alison Weber Physician Assistant 5050 N Clinton St, Fort Wayne, IN 46825-5886 2018-08-01
1275019341 Cayla Marie Vorndran Physician Assistant 5050 N Clinton St, Fort Wayne, IN 46825-5886 2018-07-12
1629560370 Aaron Michael Lewis Nurse Anesthetist, Certified Registered 5050 N Clinton St, Fort Wayne, IN 46825-5886 2018-05-30
1144724402 Surgery One Anesthesia, LLC Anesthesiology 5050 N Clinton St, Fort Wayne, IN 46825-5886 2018-03-21
1235631557 Samuel Vincent Dismuke Physician Assistant 5050 N Clinton St, Fort Wayne, IN 46825-5886 2018-03-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336772078 Bradley Murphy Occupational Therapist 2626 St Joe Center Ed, Fort Wayne, IN 46825 2020-02-21
1144851015 Sabryna Roman Developmental Therapist 2626 St Joe Center Rd, Fort Wayne, IN 46825 2020-01-30
1205474103 Ashleigh Miller Developmental Therapist 2626 St. Joe Center Rd, Fort Wayne, IN 46825 2019-12-11
1962055152 Carehalo Ohio LLC General Practice 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 2019-07-17
1306318175 Logan Alan Williams Nurse Anesthetist, Certified Registered 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 2018-12-18
1326582925 Mark F Stoner LLC Dentist 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 2016-12-15
1336695782 Nadine Rene' Handy Nurse Practitioner 3978 New Vision Dr., Fort Wayne, IN 46825 2016-08-26
1558815712 Nathan Paul Miller Physical Therapist 10006 Auburn Park Dr, Fort Wayne, IN 46825 2016-08-05
1013366905 Brianna Abbott Physician Assistant 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 2016-06-10
1003276643 Seiss, LLC Psychologist 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 2016-02-24
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104438944 Erin R Griffin Physician Assistant 5621 Woodshire Dr Apt 5, Fort Wayne, IN 46835-2959 2020-08-22
1821608209 Rebecca Coker Physician Assistant 5137 Truemper Way Apt 5, Fort Wayne, IN 46835-3252 2020-07-31
1114536844 Amanda Kohl Physician Assistant 5429 River Run Trl # 5, Fort Wayne, IN 46825-6039 2020-07-29
1538778352 Kiersten Michelle Coatney Physician Assistant 3924 Taylor Rd Apt 65, Fort Wayne, IN 46804-1945 2020-07-28
1013366905 Brianna Abbott Physician Assistant 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 2016-06-10
1972890093 Megan Bearman Physician Assistant 3640 New Vision Dr, Suite A, Fort Wayne, IN 46845-1717 2011-07-10
1114211729 Joel A Ruetz Physician Assistant 7619 W Jefferson Blvd, Fort Wayne, IN 46804-4133 2011-06-01
1568617256 Parkview Health System Inc Physician Assistant 11104 Parkview Circle Dr Ste 320, Fort Wayne, IN 46845-1733 2008-11-21
1841441805 Brooke B Kutka Physician Assistant 2512 East Dupont Rd, Suite 200, Fort Wayne, IN 46825-1609 2008-10-08
1265688808 Kali E Veness Physician Assistant 2930 Lake Ave, Fort Wayne, IN 46805-5416 2008-08-14
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46825

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Dataset Information

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.

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