DANIEL ROBERT LAMOTHE (NPI# 1023071107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023071107 |
Entity Type | Individual |
Full Name | DANIEL ROBERT LAMOTHE |
Credential | M.D. |
Practice Address |
22 Mdg 57950 Leavenworth St Mcconnell Afb KS 67221-3506 |
Mailing Address |
1021 N Beau Jardin Cir Derby KS 67037-7328 |
Practice Telephone | 6137593221 |
Mailing Telephone | 5712433575 |
Enumeration Date | 2006-04-10 |
Last Update Date | 2016-09-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 01058224A | IN | Allopathic & Osteopathic Physicians |
Street Address |
22 MDG 57950 LEAVENWORTH ST |
City | MCCONNELL AFB |
State | KS |
Zip Code | 67221-3506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750371456 | Larry E Chupp | Physician Assistant | 22 Mdg, 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2005-10-24 |
1760616015 | John La Cruz | Military Health Care Provider | 22 Mdg, Mcconnell Afb, KS 67221-3712 | 2009-05-14 |
1922232271 | Richard Jimenez Rubi | Military Health Care Provider | 22 Mdg, Mcconnell Afb, KS 67221 | 2009-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922528421 | Rose Lee Samples | Nurse Practitioner | 51950 Leavenworth St., Family Health Clinic 22 Mdg, Mcconnell Afb, KS 67221 | 2017-06-26 |
1114247913 | Dawn Marie Clifton | Nurse Practitioner | 57950 Leavenworth Ave Bldg 250, 22d Medical Group, Mcconnell Afb, KS 67221 | 2010-06-03 |
1467514489 | 22nd Medical Group | Pharmacy | 57590 Leavenworth Bldg 250, Mcconnell Afb, KS 67221 | 2006-12-15 |
1336182153 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | Derby Street, Building 352, Mcconnell Afb, KS 67221 | 2006-06-13 |
1578919049 | Kathryn Rachel Kocher | Pediatrics | 57950 Leavenworth St, Mcconnell Afb, KS 67221 | 2016-05-13 |
1962707067 | Melissa M Wendt | Physician Assistant | 57950 Leavenworth St Ste 4e1, Mcconnell Afb, KS 67221 | 2011-01-20 |
1871581306 | Joshua A Hartman | Emergency Medicine | 57950 Leavenworth St Bldg 248, Mcconnell Afb, KS 67221-3505 | 2005-10-10 |
1184242604 | Lindsey Allison Cunningham | Dentist | 57950 Leavenworth St, Wichita, KS 67221-3505 | 2020-07-10 |
1164052700 | Taylor Holloway | Family Medicine | 57950 Leavenworth St Bldg 250, Mcconnell Afb, KS 67221-3505 | 2020-01-23 |
1407296940 | Daniel Richard Galle | Optometrist | 57950 Leavenworth St Ste 4e1, Mcconnell Afb, KS 67221-3505 | 2013-06-28 |
Find all providers in zip 67221 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386740009 | Christopher Wayne Bates | General Practice | 57950 Leavenworth St, 22 Mdg, Mcconnell Afb, KS 67221-3506 | 2006-09-16 |
1184601825 | Nisha N Money | General Practice | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2005-12-23 |
1700863446 | Joshua Y Young | General Practice | 57950 Leavenworth St, Attn Credentials Office, Mcconnell Afb, KS 67221-3506 | 2005-12-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003437419 | Lewis H. Roht | General Practice | 12512 High Drive, Leawood, KS 66209-1341 | 2020-04-27 |
1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
1508360405 | Landmark Medical of Kansas Pa | General Practice | 5350 College Blvd Ste 122, Overland Park, KS 66211-1633 | 2018-03-23 |
1902342892 | Drsalliance LLC | General Practice | 13968 Santa Fe Trail Dr, Lenexa, KS 66215-3382 | 2017-01-16 |
1114470010 | St Catherine Hospital | General Practice | 2051 E Mary St, Garden City, KS 67846-3617 | 2016-07-27 |
1053706655 | Aubrey Shea Ralston | General Practice | 700 W Central Ave Ste 205, El Dorado, KS 67042 | 2015-03-31 |
1245631100 | James Berry | General Practice | 10821 S Whitetail Ln, Olathe, KS 66061-9395 | 2014-09-10 |
1427470087 | Chs Health Services, LLC | General Practice | 2000 Nw Us Highway 24, Topeka, KS 66618-1445 | 2014-01-15 |
1942556824 | Leland Ray Kaufman | General Practice | 1500 E. 10th, Bldg B/2, Winfield, KS 67156 | 2012-07-30 |
1417211665 | James M Stanford | General Practice | 202 S Frisco St, Coldwater, KS 67029-9101 | 2012-07-02 |
Find all providers with the same taxonomy |
City | MCCONNELL AFB |
Zip Code | 67221 |
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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.