DR. JADE SPURGEON (NPI# 1154314086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154314086 |
| Entity Type | Individual |
| Full Name | DR. JADE SPURGEON |
| Credential | MD |
| Practice Address |
300 Twining St Building 760 Maxwell Afb AL 36112-6027 |
| Mailing Address |
7919 Falstaff Rd Mc Lean VA 22102-2726 |
| Practice Telephone | 3349539334 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2013-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 91939 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
300 TWINING ST BUILDING 760 |
| City | MAXWELL AFB |
| State | AL |
| Zip Code | 36112-6027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623131 | Amber Alexandria Mckenzie | Nurse Practitioner | 300 Twining St, Maxwell Afb, AL 36112-6027 | 2020-06-12 |
| 1821516477 | Debbie Slocum Walker | Nurse Practitioner | 300 Twining St, Maxwell Afb, AL 36112 | 2017-09-05 |
| 1861934267 | Emily Hodges | Nurse Practitioner | 300 Twining St, Bldg 760, Maxwell Afb, AL 36112 | 2016-11-16 |
| 1972951614 | Michael Vincent Polis | Dietitian, Registered | 300 Twining St, Bldg 760, Maxwell Afb, AL 36112-6027 | 2016-06-02 |
| 1720473754 | Lauren Candee | Physician Assistant | 300 Twining St, #760, Maxwell Afb, AL 36112-6027 | 2015-04-06 |
| 1487053435 | 42nd Medical Group | Pharmacy | 300 Twining St, Maxwell Afb, AL 36112-6027 | 2014-08-15 |
| 1194156356 | Julie A Bowman | Physical Therapist | 300 Twining St, Maxwell Afb, AL 36112 | 2013-12-12 |
| 1962763441 | Edgar Joseph Dollar II | General Practice | 300 Twining St, Bldg 760, Maxwell Afb, AL 36112-6027 | 2012-05-31 |
| 1457537193 | Andrew Harrison Presnell | Counselor | 300 Twining St, Bldg 760, Maxwell Afb, AL 36112-6027 | 2008-01-11 |
| 1043499502 | Francetta D. Childers | Nurse Practitioner | 300 Twining St, Bldg 760, Maxwell Afb, AL 36112-6027 | 2007-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841836970 | Alison Bees Thompson | Social Worker | 42nd Medical Group, 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2019-11-25 |
| 1881245967 | Grant M Golombeski | Military Health Care Provider | 300 S Twinning Dr., Apo, AA 36112 | 2019-09-20 |
| 1477015196 | Jennifer Marie Hudson | Counselor | Jennifer Hudson, 300 South Twining St Bldg 760, Maxwell Afb, AL 36112 | 2019-04-02 |
| 1255801049 | Jose Edwin Aviles | Military Health Care Provider | Kelly Street, Montgomery, AL 36112 | 2018-12-05 |
| 1306316963 | Lydia Price Beringer | Speech-Language Pathologist | 300 S. Twining Street 42 Nd Medical Group, Maxwell Afb, AL 36112 | 2018-11-27 |
| 1114431301 | Dean M Kot | Physician Assistant | Mxf, Kelly St, Apo, AA 36112 | 2017-11-27 |
| 1417353590 | Jamie Ellis | Social Worker | 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2014-11-17 |
| 1629419650 | Elias N Hydrick | Family Medicine | 300 S. Twining St., Bldg 760, Maxwell Afb, 42nd Medical Group, Montgomery, AL 36112 | 2013-07-06 |
| 1639454200 | Sharon Lewis | Pharmacist | 300 Southtwining St, Montgomery, AL 36112 | 2011-10-14 |
| 1104158518 | Sylvia Ann Newell | Dietitian, Registered | 50 W Ash St Bldg 841, Montgomery, AL 36112 | 2010-02-10 |
| Find all providers in zip 36112 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962763441 | Edgar Joseph Dollar II | General Practice | 300 Twining St, Bldg 760, Maxwell Afb, AL 36112-6027 | 2012-05-31 |
| 1477549202 | Bridget Anne Thill | General Practice | 300 Twining Street, Family Practice Clinic, Maxwell Afb, AL 36112 | 2005-09-27 |
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|---|---|---|---|---|
| 1922624097 | Kyle Rolfe | General Practice | 1962 Schillinger Rd S, Mobile, AL 36695-4118 | 2020-06-24 |
| 1497390447 | Dw Mcmillan Memorial Hospital | General Practice | 1311 Mcmillan Ave, Brewton, AL 36426-1324 | 2019-11-14 |
| 1871059212 | Southeast Medical Group LLC | General Practice | 1930 Edwards Lake Rd Ste 138b, Birmingham, AL 35235-3720 | 2019-02-11 |
| 1528561974 | Stephen David Thrasher | General Practice | 2215 California St Se, Huntsville, AL 35801-2706 | 2018-03-12 |
| 1487170031 | Premier Medical Housecall, LLC | General Practice | 173 Cahaba Valley Pkwy, Pelham, AL 35124-1144 | 2017-08-16 |
| 1336662287 | Center Point Medical LLC | General Practice | 151 Woodham Dr, Albertville, AL 35951-3301 | 2017-07-24 |
| 1558898874 | B Vitality Pllc | General Practice | 3425 Colonnade Pkwy Ste C, Birmingham, AL 35243-2356 | 2017-05-17 |
| 1710438502 | Homewood Family Wellcare LLC | General Practice | 1 Independence Plz Ste 410, Homewood, AL 35209-2648 | 2016-10-17 |
| 1750837068 | Michelle R. Grana, Do; PC | General Practice | 470 Providence Main St Nw Ste 302a, Huntsville, AL 35806-4843 | 2016-08-27 |
| 1073964979 | Taurin Pyongkap Lee | General Practice | 2713 Downing St, Huntsville, AL 35801 | 2016-06-22 |
| Find all providers with the same taxonomy | ||||
| City | MAXWELL AFB |
| Zip Code | 36112 |
Please comment or provide details below to improve the information on DR. JADE SPURGEON.
| 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.