NAVAL HOSPITAL OKINAWA (NPI# 1053480137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053480137 |
| Entity Type | Organization |
| Organization Name | NAVAL HOSPITAL OKINAWA |
| Practice Address |
Psc 482 Box 1600 Fpo AP 96362-0017 |
| Practice Telephone | 2404013643 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2018-04-10 |
| Authorized Official Name | MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL HOSPITAL OKINAWA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710056874 | Naval Hospital Okinawa | Military/U.S. Coast Guard Pharmacy | Bldg 449, Camp Foster Japan, Fpo, AP 96362 | 2006-11-06 |
| 1730258815 | Naval Hospital Okinawa | Military/U.S. Coast Guard Pharmacy | Bldg 1460, Camp Kinser Japan, Fpo, AP 96362 | 2006-11-06 |
| 1891864963 | Naval Hospital Okinawa | Military/U.S. Coast Guard Pharmacy | Bldg 3510, Camp Schwab Japan, Fpo, AP 96604-8449 | 2006-11-06 |
| 1659440717 | Naval Hospital Okinawa | Military/U.S. Coast Guard Pharmacy | Bldg 4231, Camp Courtney Japan, Fpo, AP 96362 | 2006-11-06 |
| 1851460935 | Naval Hospital Okinawa | Military/U.S. Coast Guard Pharmacy | Bldg 6000, Camp Lester Japan, Fpo, AP 96362 | 2006-11-06 |
| 1346319423 | Naval Hospital Okinawa | Military/U.S. Coast Guard Pharmacy | Bldg 676, Camp Futenma Japan, Fpo, AP 96372 | 2006-11-06 |
| 1144269564 | Naval Hospital Okinawa | Military Hospital | Psc 482 Box 1600, Fpo, AP 96362-0017 | 2006-06-05 |
| Street Address |
PSC 482 BOX 1600 |
| City | FPO |
| State | AP |
| Zip Code | 96362-0017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609854686 | Antony R Joseph | Audiologist | Psc 482 Box 1600, Dch Audiology Clinic, Fpo, AP 96362-0199 | 2006-01-09 |
| 1205456613 | Joven Beck Caguioa | Counselor | Psc 482 Box 1600, Fpo, AP 96362-0017 | 2020-04-26 |
| 1194222760 | Branch Dental Clinic Iwakuni | Clinic/Center | Psc 482 Box 1600, Fpo, AP 96362-0017 | 2018-04-10 |
| 1093220030 | Branch Dental Clinic Camp Hansen | Clinic/Center | Psc 482 Box 1600, Fpo, AP 96362-0017 | 2017-12-13 |
| 1295245884 | Julia Davis Vandrak | Physician Assistant | Psc 482 Box 1600, Fpo, AP 96362-0017 | 2017-10-09 |
| 1922525153 | Brooke Basford | Nurse Practitioner | Psc 482 Box 1600, Fpo, AP 96362-9998 | 2017-08-28 |
| 1629506738 | Jessica Nicole Hafford | Nurse Practitioner | Psc 482 Box 1600, Fpo, AP 96362-9998 | 2017-06-02 |
| 1225578180 | Jessica Ann Jackson | Optometrist | Psc 482 Box 1600, Fpo, AP 96362-9998 | 2017-02-26 |
| 1003246497 | John Knorek | Psychologist | Psc 482 Box 1600, Fpo, AP 96362-9998 | 2013-11-20 |
| 1467683615 | Amy Suzanne Schuett | Physical Therapist | Psc 482 Box 1600, Us Naval Hospital Okinawa, Japan, Fpo, AP 96362-9998 | 2009-08-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659838720 | Joshua Cobb | Occupational Therapist | Psc482, Fpo, AP 96362 | 2019-02-26 |
| 1154718203 | Tanesia Maul | Pharmacist | Psc 482 Box 52, Okinawa, OKINAWA 96362 | 2015-04-15 |
| 1144651118 | Robert Boyer | Pharmacist | Psc 482 Box 199, Fpo, AP 96362 | 2013-12-02 |
| 1972742773 | 8carla T Yballe | Military Health Care Provider | Bldg. 9497 Kab Psc 4821, Fpo, AP 96362 | 2009-02-18 |
| 1538325055 | Charles Christopher Stehman | Anesthesiology | Tarawa Rd, Camp Foster Building 960, Fpo, AP 96362 | 2008-08-04 |
| 1578740163 | Kelly Jo Cavanaugh | Speech-Language Pathologist | Psc 482 Box 3000, Fpo, AP 96362 | 2008-01-25 |
| 1215125109 | Courtney Lynn Stuursma | Physical Therapist | Usnh Okinawa, Department of Pt/ot, Psc 482, Fpo, AP 96362 | 2007-10-05 |
| 1982890299 | Mark Joseph Kane | Military Health Care Provider | Psc 482 Box 2948, Fpo Ap, Fpo, AP 96362 | 2007-09-20 |
| 1376739722 | Gary B. Hoyt | Military Health Care Provider | Psc 482 Box 2577, Fpo, AP 96362 | 2007-09-19 |
| 1801087721 | Richard Houston Blair | Audiologist | Psc 482 Box 206, Fpo, AP 96362 | 2007-08-06 |
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| Taxonomy Code | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063894061 | Naval Hospital Sigonella | Military/U.S. Coast Guard Pharmacy | Isa Air Base Bahrain, Bldg 6040, Fpo, AE 09859-0001 | 2015-06-25 |
| 1497834600 | Naval Hospital Sigonella | Military/U.S. Coast Guard Pharmacy | Bldg 1, Juffair Ave, Fpo, AE 09834-2800 | 2006-11-06 |
| 1164591251 | Naval Hospital Yokosuka | Military/U.S. Coast Guard Pharmacy | Psc 564, Fpo, AP 96387 | 2006-11-06 |
| 1083783161 | Naval Hospital Sigonella | Military/U.S. Coast Guard Pharmacy | Bldg 273, Catania Sicily, Fpo, AE 09636-2670 | 2006-11-06 |
| 1285703355 | Naval Hospital Sigonella | Military/U.S. Coast Guard Pharmacy | Bldg 410, Catania Sicily, Fpo, AE 09636 | 2006-11-06 |
| 1710056874 | Naval Hospital Okinawa | Military/U.S. Coast Guard Pharmacy | Bldg 449, Camp Foster Japan, Fpo, AP 96362 | 2006-11-06 |
| 1982773032 | 18th Medical Group | Military/U.S. Coast Guard Pharmacy | Bldg 626, Kadena Ab Japan, Fpo, AP 96368 | 2006-11-06 |
| 1184793234 | Naval Hospital Yokosuka | Military/U.S. Coast Guard Pharmacy | Bldg 1400, San Diego Street, Fpo, AP 96350 | 2006-11-06 |
| 1730258815 | Naval Hospital Okinawa | Military/U.S. Coast Guard Pharmacy | Bldg 1460, Camp Kinser Japan, Fpo, AP 96362 | 2006-11-06 |
| 1891864963 | Naval Hospital Okinawa | Military/U.S. Coast Guard Pharmacy | Bldg 3510, Camp Schwab Japan, Fpo, AP 96604-8449 | 2006-11-06 |
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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.