DR. MARY AGOCS (NPI# 1245658608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245658608 |
Entity Type | Individual |
Full Name | DR. MARY AGOCS |
Credential | M.D. |
Practice Address |
Unit 5120 Box 2505 Dpo Dpo AE 09845-2505 |
Practice Telephone | 41227335838 |
Enumeration Date | 2014-04-02 |
Last Update Date | 2014-04-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171000000X | Military Health Care Provider | G72681 | CA | Other Service Providers |
Street Address |
UNIT 5120 BOX 2505 DPO |
City | DPO |
State | AE |
Zip Code | 09845-2505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811433972 | Alexis Wood | Speech-Language Pathologist | Unit 7130 Box 1118, Dpo, AE 09709-1118 | 2017-01-13 |
1942755624 | Tara Volkmann | Speech-Language Pathologist | Unit 3120 Box 52, Dpo, AA 34055-0052 | 2016-08-23 |
1164841201 | Benjamin Daniel Holland | Emergency Medicine | 500 Fisher Street, Keesler Mc Emergency Dept, Dpo, AE 39534 | 2014-04-15 |
1720335649 | Melissa Slaughter | Student in an Organized Health Care Education/Training Program | 479 Fort Benning Rd, Dpo, AA 31905 | 2012-08-09 |
1801127873 | Babette L. Mcqueen | Nurse Practitioner | Unit 3220, Box 36, Dpo, AA 34032-9997 | 2010-01-14 |
1720149958 | Amy Kathryn Brandon | Pediatrics | Unit 8500 Box 7016, Dpo, AE 09642-7016 | 2006-12-12 |
1164526612 | Kayle M Prince | Nurse Practitioner | Unit 2310 Box 47, Dpo, AE 09816-0047 | 2006-09-12 |
1710956115 | Sara Harter | Optometrist | Unit 8900 Box 237, Dpo, AE 09831-0237 | 2006-03-16 |
1467432419 | Erik Jason Reaves | Preventive Medicine | Unit 3230 Box 337, Dpo, AA 34031-0337 | 2006-01-18 |
1588656607 | James Clark Fulton | Physician Assistant | Unit 3420 Box 200, Department of State, Us Embassy Quito, Ecuador, Dpo, AA 34039-0200 | 2005-08-16 |
Find all providers in DPO |
Taxonomy Code | 171000000X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
Notes: [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730700253 | Udaya Dahal | Military Health Care Provider | Grafenwoehr, De Tower Barracks, Usag-b, Apo, AE 09114 | 2020-05-06 |
1912558610 | Bruce Lancel Bernardo Lara | Military Health Care Provider | Fpo, Ae, 09587-2417, Groton, AE 06340 | 2019-09-24 |
1962921049 | Heidi Grondahl | Military Health Care Provider | Building 2, Del Din Clinic, Apo, AE 09606 | 2017-09-11 |
1922546654 | Alexandria Fraleigh Jaksha | Military Health Care Provider | Blg 8740 Unit 23809, Cmr 405, Bx 52, Apo, AE 09034 | 2017-02-01 |
1922359702 | Spencer Corey Southerland | Military Health Care Provider | Seal Team 2, Unit 60003, Fpo, AE 09501-4633 | 2012-09-20 |
1255661005 | Thomas J Drummond | Military Health Care Provider | Hhc 3-4 Inf, Cmr 405 Box #5427, Apo, AE 09034 | 2009-12-29 |
1528210374 | John Wesley Huckleberry II | Military Health Care Provider | Unit 100236 Drawer 2703, Uss Dwight D Eisenhower Cvn 69, Fpo, AE 09532-3627 | 2008-10-10 |
1043415110 | Maria D Rodriguez | Military Health Care Provider | Usns Kanawha, Medical Department, Fpo, AE 09576-4075 | 2007-06-19 |
1194851261 | Rodolfo Lim Cubacub | Military Health Care Provider | Cmr 457, Box 639, Apo, AE 09033 | 2007-02-26 |
1891835211 | Helen Theresa Chatham | Military Health Care Provider | Cmr 467, Box 5647, Apo, AE 09096 | 2007-02-07 |
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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.