DFAS-JFLL/IN (NPI# 1164892949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164892949 |
| Entity Type | Organization |
| Organization Name | DFAS-JFLL/IN |
| Practice Address |
4881 Sugar Maple Dr Dayton OH 45433-5529 |
| Practice Telephone | 9372579926 |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |
| Authorized Official Name | DR. ISAAC HUMPHREY (SUPERVISOR) |
| Authorized Official Telephone | 9372579926 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 01073515A | IN | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235539750 | Dfas-jfll/in | Clinic/Center | 4005 Raynor Pkwy Apt 3316, Bellevue, NE 68123-6110 | 2014-09-03 |
| 1639528441 | Dfas-jfll/in | Clinic/Center | 238 Brookley Avenue, Building 1300, Apo, AA 20032-0101 | 2016-06-13 |
| 1679842306 | Dfas-jfll/in | Military Hospital | 310 W Losey St, Scott Afb, IL 62225-5250 | 2011-12-27 |
| 1366754400 | Dfas-jfll/in | Military Hospital | 10 Missile Ave, Minot Afb, ND 58705-5003 | 2010-07-06 |
| Street Address |
4881 SUGAR MAPLE DR |
| City | DAYTON |
| State | OH |
| Zip Code | 45433-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821611989 | Se Ha Park | Student in an Organized Health Care Education/Training Program | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2020-05-24 |
| 1841812898 | George Manoj Paul | Student in an Organized Health Care Education/Training Program | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2020-05-13 |
| 1053949198 | Jacob Aaron Freeze | Student in an Organized Health Care Education/Training Program | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2020-04-01 |
| 1326672619 | Caleb Evan Mcclary | Military Health Care Provider | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2020-02-26 |
| 1730729542 | Alan Eric Piper | Military Health Care Provider | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2020-01-09 |
| 1073161147 | Kristin Kim | Dentist | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2019-08-30 |
| 1225681117 | Kaleb Aaron Specht | Military Health Care Provider | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2019-07-19 |
| 1891347662 | Jessica Marie Gregor | Physician Assistant | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2019-07-11 |
| 1134785165 | Ethan Wilston | Student in an Organized Health Care Education/Training Program | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2019-05-15 |
| 1700381522 | Zachary Gordon Candela | Student in an Organized Health Care Education/Training Program | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2018-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891289518 | Sara Lyons | Physician Assistant | 88 Mdj/sghj, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2018-06-16 |
| 1073001558 | Mega Margapuram | Student in an Organized Health Care Education/Training Program | 1 Sugar Maple Drive, Dayton, OH 45433 | 2018-04-30 |
| 1437667979 | Michael Peter Dring | Social Worker | Building 830, Credentials Office, 4881 Sugar Maple Rd, Wpafb, OH 45433 | 2018-01-18 |
| 1316486814 | Josiah Hardin | Internal Medicine | 88 Mdos/sgomi, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2017-02-16 |
| 1780137380 | Allison Osterfeld | Pharmacist | 88 Mdg 4881 Suga Maple Dr, Wright Patterson Afb, OH 45433 | 2016-07-29 |
| 1891144283 | Kyle Harris | Student in an Organized Health Care Education/Training Program | 4481 Sugar Maple Dr., Wright Patterson Afb, OH 45433 | 2016-06-07 |
| 1245601756 | Nichole Griep | Audiologist | 88 Mdg/sgpq, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2015-10-09 |
| 1487021267 | Melanie Schaffer | Dietitian, Registered | 4881 Sugamaple Drive, Wpafb, OH 45433 | 2015-08-27 |
| 1831582261 | Joseph K Wray | General Practice | 88 Mdg/sgcj, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2015-03-10 |
| 1659798031 | Maninder Kaur | Nurse Practitioner | 88 Mdos/sgom, 4881 Sugar Maple Drive, Wright Patterson Afb, OH 45433 | 2014-03-24 |
| Find all providers in zip 45433 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341204 | Southwest Injury and Rehab Center, Inc. | Clinic/Center | 7391 Brandt Pike Ste C, Dayton, OH 45424-3274 | 2020-09-16 |
| 1952780132 | Anesthesia and Pain Management LLC | Clinic/Center | 1 Elizabeth Place Suite 1155, Dayton, OH 45417 | 2015-05-21 |
| 1467786152 | Ub-fit, LLC | Clinic/Center | 4999 Brandt Pike, Dayton, OH 45424-6000 | 2009-09-28 |
| 1225570484 | Samaritan Behavioral Health, Inc. | Clinic/Center | 601 S Edwin C Moses Blvd, 4th Floor, Nw Building, Dayton, OH 45417-3424 | 2016-11-04 |
| 1780065243 | Medwell, LLC | Clinic/Center | 1435 Cincinnati St, Suite 100, Dayton, OH 45417-4614 | 2015-06-10 |
| 1083953103 | Osama Al-samkari M.d. Inc | Clinic/Center | 1121 Linden Ave, Dayton, OH 45410-2851 | 2013-02-08 |
| 1619113867 | Logan Family Medicine, LLC | Clinic/Center | 8845 Rhea County Hwy, Dayton, TN 37321-5926 | 2008-12-17 |
| 1689846933 | Samaritan Behavioral Health, Inc. | Clinic/Center | 601 S Edwin C Moses Blvd, Nw Bldg. 1st and 4th Floors, Dayton, OH 45408-1424 | 2008-03-27 |
| 1083882138 | Burt E Schear Md & Associates Inc | Clinic/Center | 1100 Salem Ave, Dayton, OH 45406-5144 | 2008-02-12 |
| 1447449400 | Northwest Ob-gyn Inc. | Clinic/Center | 6310 N Main St, Dayton, OH 45415-3155 | 2007-10-16 |
| Find all providers in DAYTON | ||||
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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.