MR. MATTHEW JOHN SCHLOESSER (NPI# 1063026136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063026136 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW JOHN SCHLOESSER |
| Credential | PA |
| Practice Address |
11335 Ssg Sims Street Fort Bliss TX 79918 |
| Mailing Address |
5005 N. Piedras Street Attn: Ms. Mary H. Sexton, Credentials Coordinator El Paso TX 79920-5001 |
| Practice Telephone | 9157422273 |
| Mailing Telephone | 9157422973 |
| Mailing Fax Number | 9157424890 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| Street Address |
11335 SSG SIMS STREET |
| City | FORT BLISS |
| State | TX |
| Zip Code | 79918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427543867 | Samantha Anne Good | Military Health Care Provider | 11335 Ssg Sims Street, Fort Bliss, TX 79918 | 2018-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952951261 | Brian Jun Hwangpo | Dentist | 21227 Torch St, Biggs Field, TX 79918 | 2019-09-18 |
| 1700355237 | William Christopher Petty | Military Health Care Provider | 21227 Torch Street, Biggs Field, TX 79918 | 2018-11-14 |
| 1598245755 | Jessica Tan | Physical Therapist | 11335 Ssg Sims St., El Paso, TX 79918 | 2018-08-17 |
| 1447798749 | Richard Emil Stanford Jr. | Physical Therapist | 11335 Ssg Sims, Ft Bliss, TX 79918 | 2017-02-07 |
| 1760736904 | Jennifer E Zuccarelli | Family Medicine | 11335 Ssg Sims St, Fort Bliss, TX 79918 | 2012-11-08 |
| 1952601254 | Sharon Anne Gutierrez | Nurse Practitioner | Bldg. 11335 Ssg Sims St., Biggs Af, Ft Bliss, TX 79918 | 2010-11-02 |
| 1972737245 | Fawn Ison | Military Health Care Provider | 11319 Ssg Sims St, Fort Bliss, TX 79918 | 2009-05-14 |
| 1447434782 | William Beaumont Army Medical | Military/U.S. Coast Guard Pharmacy | Biggs Army Airfield, Bldg 11281, Ft Bliss, TX 79918 | 2007-12-21 |
| 1073114435 | Jorge Augusto Delgadillo | Social Worker | 11335 Ssg Sims St, Fort Bliss, TX 79918 | 2020-11-03 |
| 1710586862 | Natalie Beale | Physical Therapist | 11335 Ssg Sims St, Fort Bliss, TX 79918 | 2020-10-20 |
| Find all providers in zip 79918 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952863250 | Kyle Andrew Busby | Military Health Care Provider | 11335 Ssg Sims St, Fort Bliss, TX 79918 | 2019-04-04 |
| 1427543867 | Samantha Anne Good | Military Health Care Provider | 11335 Ssg Sims Street, Fort Bliss, TX 79918 | 2018-06-27 |
| 1265969620 | Quoc Dang | Military Health Care Provider | Chaffee Rd Bldg 128, Fort Bliss, TX 79916 | 2017-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805454 | Tri Huynh Minh Nguyen | Military Health Care Provider | 7826 Enchanted Cliff Dr, El Paso, TX 79911-7508 | 2020-09-10 |
| 1700355237 | William Christopher Petty | Military Health Care Provider | 21227 Torch Street, Biggs Field, TX 79918 | 2018-11-14 |
| 1346629094 | Grada Berry | Military Health Care Provider | 2520 Heather Brook Ln Apt 804, Arlington, TX 76006-5177 | 2015-05-28 |
| 1215323514 | Kathleen Schurr | Military Health Care Provider | 47th Medical Group, Laughlin Afb, TX 78840 | 2015-04-13 |
| 1639518616 | Treble Clef Technologies | Military Health Care Provider | 3233 Tomahawk St, El Paso, TX 79936-2315 | 2013-06-23 |
| 1679837355 | Jeffrey Hoffmann | Military Health Care Provider | 1640 N Zaragoza Rd, Apt 118, El Paso, TX 79936-8004 | 2012-06-27 |
| 1194022566 | William Resto-rivera | Military Health Care Provider | J Street Bldg 3000, Federal Medical Center Carswell, Fort Worth, TX 76127-0066 | 2011-02-22 |
| 1437456373 | Jennifer Leigh Noblin | Military Health Care Provider | Sheppard Afb Mental Health Clinic, 149 Hart St. Bldg 1200, Wichita Falls, TX 76311 | 2011-02-11 |
| 1609179159 | Verisha Virginia Dixon | Military Health Care Provider | 81945 Fm 2252 Ste 115, Cheroke Medical Services, Garden Ridge, TX 78266 | 2010-12-06 |
| 1215190004 | Joni Patricia Gumban | Military Health Care Provider | 409 Greene St, Webster, TX 77598-6701 | 2008-07-02 |
| Find all providers with the same taxonomy | ||||
| City | FORT BLISS |
| Zip Code | 79918 |
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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.