DR. JAY WESLEY ANDERSON (NPI# 1225457674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225457674 |
| Entity Type | Individual |
| Full Name | DR. JAY WESLEY ANDERSON |
| Credential | MD |
| Practice Address |
101 Bodin Cir Travis Afb CA 94535-1809 |
| Mailing Address |
101 Bodin Cir Travis Afb CA 94535 |
| Practice Telephone | 7074237342 |
| Mailing Telephone | 7074237342 |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2018-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | DR0058086 | CO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952438319 | Jay Patrick Anderson | Chiropractor | 751 Michigan Ave, Waterville, OH 43566-1052 | 2007-02-27 |
| 1558360362 | Jay D. Anderson | Chiropractor | 57 E 800 N, Spanish Fork, UT 84660-1210 | 2005-07-14 |
| 1407218639 | Jay Robert Anderson | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Western University Comp-nw, Lebanon, OR 97355-3983 | 2016-03-26 |
| 1356736011 | Jay Anderson | Internal Medicine | 3595 Olentangy River Rd, Columbus, OH 43214 | 2015-03-31 |
| 1902246465 | Jay Marcus Anderson | Internal Medicine | 201 9th St Se, Rochester, MN 55904-6768 | 2013-06-28 |
| 1194070110 | Jay Rosamond Anderson | Dentist | 1125 E California Ave, Bakersfield, CA 93307-1201 | 2012-07-16 |
| 1407131071 | Jay S Anderson | Pharmacist | 1070 Western Ave, Chillicothe, OH 45601-1174 | 2011-10-14 |
| 1528245784 | Jay Michael Anderson | Internal Medicine | 240 Sheraton Blvd, Macon, GA 31210-1358 | 2008-01-29 |
| 1457579534 | Jay Frank Anderson | Dentist | 6565 S Yale Ave, Ste. 1008, Tulsa, OK 74136-8378 | 2007-04-23 |
| 1649393927 | Jay C Anderson | Internal Medicine | 729 N Custer Ave, Grand Island, NE 68803-4311 | 2007-04-09 |
| Street Address |
101 BODIN CIR |
| City | TRAVIS AFB |
| State | CA |
| Zip Code | 94535-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801893276 | Charles A Tujo | Radiology | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2005-06-30 |
| 1538769351 | Chelsey Violet Pelkey | Military Health Care Provider | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-10-30 |
| 1538768114 | Jordan Rose | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-10-23 |
| 1821606591 | Madelyn Hale | Military Health Care Provider | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-07-20 |
| 1932727856 | Julie Thein | Audiologist | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-07-07 |
| 1063039501 | Shae Daniel Bryant | Dentist | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-07-01 |
| 1598381089 | Aaron J Surbaugh | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-06-19 |
| 1194348466 | Amanda Vance | Registered Nurse | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-05-21 |
| 1427681196 | Bradley Burkey | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-02-20 |
| 1821629288 | Gloria Calvillo | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487711 | Sheila C Flood | Student in an Organized Health Care Education/Training Program | 101 Biden Circle, Fairfield, CA 94535 | 2020-04-28 |
| 1568081255 | Miguel Julian Moreno | Student in an Organized Health Care Education/Training Program | 690 Airmen Drive, Travis Afb, CA 94535 | 2020-04-13 |
| 1174096101 | Zlatoslava Karga | Nurse Practitioner | 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 | 2019-01-02 |
| 1437648292 | Luke C Vera | Dentist | David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 | 2018-05-08 |
| 1588163430 | Sanaz Ziad | Pharmacist | 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 | 2018-02-06 |
| 1194265686 | Geoffrey Johnston | Dentist | 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 | 2017-03-02 |
| 1336693407 | Hannah Isla Nordwall | Social Worker | 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 | 2016-08-06 |
| 1184177149 | Taylor Murrie-robinson | Social Worker | 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 | 2016-07-26 |
| 1952759607 | Eric Kincaid-sharp | General Practice | 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 | 2016-06-02 |
| 1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
| Find all providers in zip 94535 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598028433 | Shane Burr Patterson | Internal Medicine | 60 Mdg/sgomb, 101 Bodin Circle, Travis Afb, CA 94535 | 2012-06-15 |
| 1447544473 | Claire Lenee Hiles | Internal Medicine | 60 Mdg/sgomo, 101 Bodin Cir, Travis Afb, CA 94535 | 2011-06-07 |
| 1265412746 | Robert Christopher Marshall | Internal Medicine | 60 Mdos/sgomi, 101 Bodin Circle, Travis Afb, CA 94535-1809 | 2006-01-19 |
| 1952383523 | Daniel Lamar | Internal Medicine | 60 Mdg/cd, 101 Bodin Circle, Travis Afb, CA 94535-1809 | 2005-11-18 |
| 1811428006 | Ashley E Mills | Internal Medicine | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2017-03-21 |
| 1649628926 | Shalvin Prasad | Internal Medicine | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2016-05-27 |
| 1235590340 | Jessica Kathleen Rouse | Internal Medicine | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2016-03-16 |
| 1487073730 | Mallory Michelle Chan | Internal Medicine | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2014-04-15 |
| 1174948012 | Justin Ross Peterson | Internal Medicine | 101 Bodin Cir., 60 Mdg/sgopc, Travis Afb, CA 94535-1809 | 2014-03-01 |
| 1265791768 | David Michael Fredric Anderson | Internal Medicine | 101 Bodin Cir, Travis Afb, CA 94535 | 2012-05-04 |
| Find all providers in TRAVIS AFB | ||||
| City | TRAVIS AFB |
| Zip Code | 94535 |
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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.