CRYSTAL ROSE LENZ (NPI# 1144510371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144510371 |
| Entity Type | Individual |
| Full Name | CRYSTAL ROSE LENZ |
| Credential | D.O. |
| Practice Address |
Unit 5142 18th Medical Group Apo AP 96368-5142 |
| Mailing Address |
Psc 80 Box 15462 Apo AP 96367-0057 |
| Practice Telephone | 3156304229 |
| Mailing Telephone | 0111780843 |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2014-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | OS11932 | FL | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | CR0051668 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
UNIT 5142 18TH MEDICAL GROUP |
| City | APO |
| State | AP |
| Zip Code | 96368-5142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194704916 | 18th Medical Group | Military Hospital | Unit 5142, Apo, AP AP | 2006-01-11 |
| 1356838403 | William Gilmore Senn | Dentist | Unit 5142, Apo, AP 96368-5142 | 2018-04-15 |
| 1003259656 | Justyna Teresa Wadolowski | Psychiatry & Neurology | Unit 5142, Apo, AP 96368-5142 | 2013-04-14 |
| 1952698144 | Shanita Webb | Military Hospital | Unit 5142, Apo, AP 96368-5142 | 2011-07-07 |
| 1275842684 | Kimberly Marie Ranieri | Physician Assistant | Unit 5142, Apo, AP 96368-5142 | 2010-10-03 |
| 1952325128 | Timothy Paul Ballard | Family Medicine | Unit 5142, 18th Medical Group, Apo, AP 96368-5142 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063872703 | Halston Thayer | Dentist | 18th Medical Group. Unit 5142, Apo, AP 96368 | 2016-02-23 |
| 1912392333 | Jennifer Chilson | Military Health Care Provider | Bldg 3531 Unit 5247 B 10, Apo, AP 96368 | 2015-04-02 |
| 1811245962 | Greyson Leftwich | Dentist | 18th Medical Group, Bldg 626. Unit 5142, Apo, AP 96368 | 2012-08-21 |
| 1639440720 | Marta T Casbeer | Social Worker | Unit 4142, Apo, AP 96368 | 2012-01-20 |
| 1538454335 | Rachel Jeanty Asuquo | Internal Medicine | Kadena Air Base, Apo, AP 96368 | 2011-06-09 |
| 1730489451 | Laura Driver | Dentist | Kadena Afb 18 Mdg, Unit 5142, Apo, AP 96368 | 2010-10-28 |
| 1043442247 | Christina M Carter | Nurse Practitioner | 18th Med Group Unit 5142, Apo, AP 96368 | 2009-08-20 |
| 1659515070 | David J Billings | Military Health Care Provider | 353d Operations Support Squadron, Unit 5247 Box 10, Apo, AP 96368 | 2009-04-29 |
| 1427292226 | Melissa Anne Worley | Emergency Medical Technician, Paramedic | Bldg 3531, Kadena Ab Japan, Apo, AP 96368 | 2009-04-23 |
| 1922240571 | Richard H Caballero | Pharmacist | 18 Mdss Pharmacy, Unit 5268 Bld 626, Apo, AP 96368 | 2009-03-28 |
| Find all providers in zip 96368 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376070359 | Daniel Ilwoo Park | General Practice | Building S-555, Apo, AP 96271 | 2017-05-22 |
| 1881052793 | Victoria Okpala | General Practice | Bldg 9424 Battalion Ave, Apo, AA 76544 | 2016-02-05 |
| 1063883585 | Charl Woo | General Practice | Usag Camp Humphreys, Bldg. # 3030, Apo, AP 96271 | 2015-10-09 |
| 1083029193 | Francesann Hill | General Practice | 3214 East Santiago Avenue, Apo, AP 99703 | 2014-06-26 |
| 1316359417 | Timothy A Gocke | General Practice | Camp Walker, Wood Clinic, Apo, AP 96218 | 2014-05-22 |
| 1942648787 | Andre C. L. Liem | General Practice | Vilseck Scmh, Bldg 701, Apo, AE 09112 | 2013-06-13 |
| 1508203225 | Charles Robert Blackwell | General Practice | Cmr 411 Box 1532, Apo, AE 09112-0016 | 2013-06-04 |
| 1063859809 | Lisa Shaw | General Practice | Bldg 10506 Euphrates River Valley Road, Connor Troop Medical Center, Fort Drum Ny, Apo, AA 13602 | 2013-06-03 |
| 1982959771 | Matthew Puderbaugh | General Practice | 86th Medical Group Unit 3215, Apo, AE 09094 | 2012-07-17 |
| 1740475151 | Shimul Shah Patel | General Practice | Cmr 416 Box 799, Apo, AE 09140 | 2007-09-10 |
| Find all providers in APO | ||||
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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.