JONATHAN DAVID FRATKIN M.D. NPI 1942246087

NPI Information

NPI: 1942246087
Provider Name: JONATHAN DAVID FRATKIN, M.D.
Classification: Pathology - 207ZP0102X
Entity Type: Individual

Specialization: Anatomic Pathology & Clinical Pathology

Address:
2500 N STATE ST
DEPT OF PATHOLOGY
JACKSON, MS
ZIP 39216
Phone: (601) 984-1530
Get Directions

Jonathan David Fratkin, M.D. is an anatomic pathology and clinical pathology pathology in Jackson, MS. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Jonathan David Fratkin, M.D. NPI is 1942246087. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2500 N STATE ST
DEPT OF PATHOLOGY
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-1530
Fax: (601) 984-1531

The enumeration date for this NPI number is 6/20/2006 and was last updated on 3/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	13061	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	220000079	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI
2	00110234	MEDICAID	MISSISSIPPI
3	$$$$$$$$$	OTHER	MISSISSIPPI	BCBS
4	P00648898	OTHER	MISSISSIPPI	RR MEDICARE
5	134522	MEDICAID	ALABAMA
6	302I228886	MEDICARE PIN	MISSISSIPPI
7	220010996	OTHER	MISSISSIPPI	RR MEDICARE
8	156443	MEDICAID	ALABAMA
9	512I220017	MEDICARE PIN	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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