DOD (NPI# 1265595482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265595482 |
| Entity Type | Organization |
| Organization Name | DOD |
| Other Organization Name | MEDDAC |
| Practice Address |
9501 Farrell Rd Fort Belvoir VA 22060-5901 |
| Mailing Address |
8637 Hillside Manor Dr Springfield VA 22152-2240 |
| Practice Telephone | 7038050067 |
| Mailing Telephone | 7037521776 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. KYUNG OK PARK (CLINICAL NURSE) |
| Authorized Official Telephone | 7038050067 |
| Authorized Official Credential | BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WX0003X |
Registered Nurse Specialization: Obstetric, Inpatient |
0001109410 | VA | Nursing Service Providers |
| Other Name | Type Code |
|---|---|
| MEDDAC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336119403 | Dod | Clinic/Center | 7500 Cochrane Cir, Ft.carson, Colorado Springs, CO 80913-7692 | 2006-01-23 |
| 1659722189 | Dod | Dentist | Us Army Dental Activity, 4431 68th Street, Fort Hood, TX 76544 | 2016-06-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | DOD 58 GL77 LLC | 5905 Coprorate Drive, Colorado Springs, CO 80919 |
| Colorado Business Entities | DOD 588 L77 LLC | 5905 Coprorate Drive, Colorado Springs, CO 80919 |
| Oregon Corporations, Companies and Business Names | DOD AND ASSOCIATES, LLC | 7520 Se 27th Ave, Portland, OR 97202 |
| Colorado Business Entities | DOD Aspen LLC | 567 San Nicholas Dr., Suite 450, Newport Beach, CA 92660 |
| System for Award Management (SAM) Entities | DOD CONSTRUCTORS A JV | 185 Devlin Rd, Napa, CA 94558-6255 |
| Virginia Business Entities | DOD DISTRIBUTING CO. INC. | 13 Skyview Circle, Po Drawer 4, Verona, Virginia 24482 |
| System for Award Management (SAM) Entities | DOD ELECTRICAL CONSTRUCTORS A JV | 185 Devlin Rd, Napa, CA 94558-6255 |
| Colorado Business Entities | DOD Energy, LLC | 9200 Cherry Creek Dr South, Denver, CO 80231 |
| Oregon Corporations, Companies and Business Names | DOD ENTERPRISES LLC | 37141 Soap Creek Rd, Corvallis, OR 97330 |
| Colorado Business Entities | DOD Entertainment Enterprises Inc. | 221 Osprey Point Drive, Osprey, FL 34229 |
| Street Address |
9501 FARRELL RD |
| City | FORT BELVOIR |
| State | VA |
| Zip Code | 22060-5901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134127145 | Bonnie L. Breneman | Nurse Practitioner | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2005-07-13 |
| 1821428806 | Samantha Rigby | Dietitian, Registered | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2013-11-12 |
| 1184998536 | Fort Belvoir Community Hospital | Special Hospital | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-03-02 |
| 1093089757 | Ft Belvoir Hospital Outpatient Pharmacy | General Acute Care Hospital | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-02-28 |
| 1073886917 | Syed H Akhtar | Pharmacist | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-02-22 |
| 1104199231 | Tiffany Limerick | Pharmacist | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-02-21 |
| 1700159936 | Mary N Tabot | Pharmacist | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-02-19 |
| 1033482534 | Sanh Dan Trieu | Pharmacist | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-02-14 |
| 1710250212 | Thao Phuong Dinh | Pharmacist | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-02-14 |
| 1598045460 | Fort Belvoir Community Hospital | Military Hospital | 9501 Farrell Rd, Fort Belvoir, Va, Fort Belvoir, VA 22060-5901 | 2011-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447780317 | Elizabeth Joy Bier | Family Medicine | Fort Belvoir Community Hospital 9300 Dewitt Loop, Fort Belvoir, VA 22060 | 2017-06-14 |
| 1518413723 | Meredith Rae Cuddy | Social Worker | 9300 Dewitt Loop, Rivers Pavillion, 2nd Floor, Room R2.403, Fort Belvoir, VA 22060 | 2016-08-28 |
| 1760804041 | Edward Burke | Nurse Anesthetist, Certified Registered | 9300 Dewitt Loop, Sunrise Pavilion, 3rd Flr, Rm 218, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 | 2014-01-06 |
| 1972940450 | Deepa Ramanathan Elion | Clinical Neuropsychologist | 5908 9th Street, Building 1259, Intrepid Sprit One, Nicoe, Fort Belvoir, VA 22060 | 2013-05-24 |
| 1861837643 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 8651 John J Kingman, Building 2321, Fort Belvoir, VA 22060 | 2013-05-07 |
| 1609150820 | Brittany Rodriguez | Physical Therapist | 9300 Belvoir Rd, Fort Belvoir, VA 22060 | 2011-10-06 |
| 1457657983 | Jacob Macgregor | Nurse Anesthetist, Certified Registered | 9300 Dewit Loop, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 | 2011-02-01 |
| 1518291442 | Stacie Erin Thomas | Speech-Language Pathologist | 5980 9th Street, Intrepid Pavillion, Fort Belvoir, VA 22060 | 2009-09-24 |
| 1033347125 | David Michael Hanrahan | Psychiatry & Neurology | 5980 9th Street Building #1259, Fort Belvoir Intrepid Pavillion, Fort Belvoir, VA 22060 | 2009-06-26 |
| 1649459777 | Central Care Inc | Military Hospital | 9501 Farrell Rd Bldg 805, Dewitt Health Care Center, Ft Belvoir, VA 22060 | 2007-10-25 |
| Find all providers in zip 22060 | ||||
| Taxonomy Code | 163WX0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Obstetric, Inpatient |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841825114 | Heather Alsup-morton | Registered Nurse | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2020-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710508734 | Laura Murphy Kitchens | Registered Nurse | 6160 Kempsville Cir Ste 325a, Norfolk, VA 23502-3933 | 2020-04-30 |
| 1588291124 | Gabrielle Marie Mcpherson | Registered Nurse | 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2020-03-24 |
| 1972153625 | Jamie Alondra Sarceno | Registered Nurse | 39 Stanard St, Stanardsville, VA 22973-3756 | 2019-09-15 |
| 1730435546 | Melissa Anne Ochoa | Registered Nurse | 125a Medical Cir, Winchester, VA 22601-3322 | 2012-07-30 |
| 1346500709 | Ania Dickenson | Registered Nurse | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2012-05-19 |
| City | FORT BELVOIR |
| Zip Code | 22060 |
Please comment or provide details below to improve the information on DOD.
| 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.