NAVAL HEALTH CLINIC OAK HARBOR (NPI# 1184723223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184723223 |
| Entity Type | Organization |
| Organization Name | NAVAL HEALTH CLINIC OAK HARBOR |
| Practice Address |
3475 N Saratoga St Oak Harbor WA 98278-4927 |
| Practice Telephone | 3602579707 |
| Practice Fax Number | 3602579719 |
| Mailing Telephone | 3602579707 |
| Mailing Fax Number | 3602579719 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2017-10-17 |
| Authorized Official Name | WILLIAM M CONDON (BUMED UBO) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL HEALTH CLINIC OAK HARBOR |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2110608 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518387836 | Naval Health Clinic Oak Harbor | Military/U.S. Coast Guard Pharmacy | Naval Hospital Oak Hbr 3475 N Saratoga St, Oak Harbor, WA 98278-8800 | 2014-04-25 |
| 1730134206 | Naval Health Clinic Oak Harbor | Military Hospital | 3475 N Saratoga St, Oak Harbor, WA 98278-8800 | 2006-05-23 |
| Street Address |
3475 N SARATOGA ST |
| City | OAK HARBOR |
| State | WA |
| Zip Code | 98278-4927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164428116 | Jeffrey Howard Davis | Pediatrics | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2005-06-23 |
| 1467061978 | Michelle Kathryn Papadakis | Dentist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2020-07-30 |
| 1497376362 | Carrie Crucian | Dental Hygienist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2020-05-02 |
| 1538721949 | Tracy Dean | Registered Nurse | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2019-07-05 |
| 1487174108 | Byron William Crow | Dental Hygienist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2017-06-23 |
| 1962932285 | Mary Claire Gundayao Matro | Dental Hygienist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2017-06-19 |
| 1093245359 | Chaney Foote | Dental Hygienist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2017-06-19 |
| 1073048773 | Lori Bjork | General Practice | 3475 N Saratoga St, Oak Harbor, WA 98278-5000 | 2017-05-01 |
| 1114478112 | Amy Ziezulewicz | Family Medicine | 3475 N Saratoga St, Oak Harbor, WA 98278 | 2016-10-14 |
| 1427504091 | Nathan Nakano | Dentist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2016-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417219510 | Jonathan Glover Seavey | Orthopaedic Surgery | 3475 N Saratoga St Naval Health Clinic Oak Harbor, Oak Harbor, WA 98278 | 2012-06-13 |
| 1073020715 | Cassidy West-santos | Student in an Organized Health Care Education/Training Program | 3475 N Saratoga Street Naval Health Clinic Oak Harbor, Oak Harbor, WA 98278-0001 | 2018-01-03 |
| 1104105766 | Elise Cooper Brandon | Family Medicine | 3475 Saratoga Ave, Oak Harbor, WA 98278-0001 | 2011-08-12 |
| 1417268780 | Peter Lee Sone | Family Medicine | Naval Health Clinic Oak Harbor 3475 N Saratoga Ave, Oak Harbor, WA 98278-0001 | 2010-07-01 |
| 1396710935 | David James Damstra | Family Medicine | 9475 N. Saratoga, Oak Harbor, WA 98278-0001 | 2006-02-17 |
| 1215900139 | Mary Lou Stewart | Dentist | 3475 W Saratoga St, Oak Harbor, WA 98278-0001 | 2006-02-10 |
| 1396725172 | Michael J Oras | Preventive Medicine | Eodmu 11, 180 W Tulagi Ave, Oak Harbor, WA 98278-0001 | 2006-01-18 |
| 1043299647 | Herbert Anthony Johnson Jr. | Physician Assistant | Behavioral Health Clinic, Sarp, Naval Hospital, Oak Harbor, WA 98278-0001 | 2006-01-11 |
| 1790764710 | Jonie L. Mcbee | Nurse Practitioner | Naval Hospital Oak Harbor, 3475 N. Saratoga St., Oak Harbor, WA 98278-0001 | 2006-01-10 |
| 1437137569 | Mitchell Matthew Paynter | Dentist | Naval Hospital Oak Harbor Nas Whidbey Island, 3475 N. Saratoga St, Oak Harbor, WA 98278-0001 | 2006-01-09 |
| Find all providers in zip 98278 | ||||
| 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 |
|---|---|---|---|---|
| 1518387836 | Naval Health Clinic Oak Harbor | Military/U.S. Coast Guard Pharmacy | Naval Hospital Oak Hbr 3475 N Saratoga St, Oak Harbor, WA 98278-8800 | 2014-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528488848 | Madigan Army Medical Ctr | Military/U.S. Coast Guard Pharmacy | Madigan Army Medical Ctr 9040, Jackson Ave, Tacoma, WA 98431-1100 | 2014-04-25 |
| 1205102761 | 92nd Medical Group | Military/U.S. Coast Guard Pharmacy | 103 Saatz Rd, Fairchild Afb, WA 99011 | 2012-03-29 |
| 1801195110 | 92 Medical Group/sgsl | Military/U.S. Coast Guard Pharmacy | 6955 22nd Ave Ne, # 3401, Moses Lake, WA 98837-3288 | 2011-03-25 |
| 1316243744 | Madigan Army Medical Ctr | Military/U.S. Coast Guard Pharmacy | 10507 156th St E, Suite 112, Puyallup, WA 98374-9361 | 2011-02-02 |
| 1992804033 | Madigan Army Medical Ctr | Military/U.S. Coast Guard Pharmacy | Bldg 2202, Ft Lewis, WA 98433 | 2006-09-22 |
| 1275632317 | 92nd Medical Group | Military/U.S. Coast Guard Pharmacy | Bldg 2460, Fairchild Afb, WA 99011 | 2006-09-22 |
| 1609975747 | Madigan Army Medical Ctr | Military/U.S. Coast Guard Pharmacy | Bldg 9040a, Tacoma, WA 98431-0001 | 2006-09-22 |
| 1336248475 | Pt Angeles Uscg Phcy | Military/U.S. Coast Guard Pharmacy | Ediz Hook Rd, Port Angeles, WA 98362 | 2006-09-22 |
| 1619076650 | Madigan Army Medical Ctr | Military/U.S. Coast Guard Pharmacy | Jackson Ave Bldg 9040a, Tacoma, WA 98431-0001 | 2006-09-22 |
| 1477652519 | 92nd Medical Group | Military/U.S. Coast Guard Pharmacy | 701 Hospital Loop # 135, Fairchild Afb, WA 99011-8704 | 2006-09-22 |
| Find all providers with the same taxonomy | ||||
| City | OAK HARBOR |
| Zip Code | 98278 |
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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.