UNITED STATES ARMY (NPI# 1295049773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295049773 |
| Entity Type | Organization |
| Organization Name | UNITED STATES ARMY |
| Practice Address |
300 W Hospital Rd Fort Gordon GA 30905-5741 |
| Mailing Address |
205 Sarah Creek Ct Martinez GA 30907-1223 |
| Practice Telephone | 7067872324 |
| Mailing Telephone | 7858171930 |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-27 |
| Authorized Official Name | DR. MICHAEL QUINN (INTERNAL MEDICINE PROGRAM DIRECTOR) |
| Authorized Official Telephone | 7067870674 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities | ||
| Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629357934 | United States Army | Military Hospital | 300 W Hospital Rd Rm 7a-46, Fort Gordon, GA 30905-5741 | 2011-08-04 |
| 1780754945 | United States Army | Nurse Anesthetist, Certified Registered | 1814 Beacon Ct Ne, Tacoma, WA 98422-3469 | 2006-11-08 |
| 1770029159 | United States Army | General Acute Care Hospital | 2700 Trimmier Rd, Killeen, TX 76542 | 2017-01-10 |
| 1902263098 | United States Army | Military Hospital | 4430 Missouri Ave, Box 1267, Fort Leonard Wood, MO 65473-9098 | 2016-01-21 |
| 1558747931 | United States Army | Military Hospital | 5005 N Piedras St, El Paso, TX 79920-5002 | 2015-08-07 |
| 1841686557 | United States Army | Military Hospital | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2015-04-09 |
| 1568857357 | United States Army | Clinic/Center | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2015-03-30 |
| 1205248846 | United States Army | Military Hospital | 9300 Dewitt Loop, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 | 2014-06-02 |
| 1487913711 | United States Army | Pharmacist | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2012-05-07 |
| 1326320144 | United States Army | Clinic/Center | 301 Andrews Avenue, Fort Rucker, AL 36362 | 2011-09-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | United States Army Drill Team Association | 6918 Alliance Loop, Colorado Springs, CO 80925 |
| Massachusetts Corporations | UNITED STATES ARMY VETERAN SUPPORT COMMAND OF NEW JERSEY INCORPORATION | 1 Clarke Ave., Suite 1, Jersey City, NJ 07304 |
| Washington State Corporations | UNITED STATES ARMY VOLUNTEER SUPPORT COMMAND | 9031 Canyon Dr, Kent, WA 98030-4778 |
| Street Address |
300 W HOSPITAL RD |
| City | FORT GORDON |
| State | GA |
| Zip Code | 30905-5741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922007467 | John Keenan Wilson | Internal Medicine | 300 W Hospital Rd, Building 300, Fort Gordon, GA 30905-5741 | 2005-07-18 |
| 1629687751 | Benjamin Lee Tigges | Nurse Anesthetist, Certified Registered | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2020-07-24 |
| 1104441179 | Gia-thien H Nguyen | Student in an Organized Health Care Education/Training Program | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2020-06-15 |
| 1184249765 | Roman Avila | Student in an Organized Health Care Education/Training Program | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2020-06-10 |
| 1417572116 | Francesco Anthony Biolzi | Student in an Organized Health Care Education/Training Program | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2020-06-09 |
| 1114568268 | Ryan Sever | Psychologist | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2019-09-30 |
| 1801446497 | Seth Randall | Nurse Practitioner | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2019-09-16 |
| 1275188179 | Jason Celestino | Nurse Anesthetist, Certified Registered | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2019-08-07 |
| 1467011668 | Angelina Kathleen Trush | Student in an Organized Health Care Education/Training Program | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2019-06-11 |
| 1790271989 | Joshua Orszag | Nurse Anesthetist, Certified Registered | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1861971335 | Isabella Anderson | Dentist | Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 | 2018-08-07 |
| 1972097426 | Cortney Wolfley | Student in an Organized Health Care Education/Training Program | Orthopaedics Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905 | 2018-06-19 |
| 1003337536 | David Jonathon Sabovich | Dentist | 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 | 2017-07-06 |
| 1437689411 | Marcos Aranda | Student in an Organized Health Care Education/Training Program | General Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2017-06-13 |
| 1659809846 | Brian Kevin Burke | Student in an Organized Health Care Education/Training Program | 300 East Hosptial Road, Fort Gordon, GA 30905 | 2017-06-01 |
| 1902334469 | Jacqueline Renee Mulhall | Student in an Organized Health Care Education/Training Program | Ddeamc, 300 E Hospital Rd, General Surgery, Fort Gordon, GA 30905 | 2017-05-30 |
| 1750837456 | Amanda R Bailey | Internal Medicine | 300 E. Hospital Dr., Fort Gordon, GA 30905 | 2016-09-01 |
| 1689120016 | Thomas S Moffitt | Internal Medicine | Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2016-08-26 |
| Find all providers in zip 30905 | ||||
| Taxonomy Code | 2865M2000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| Specialization | Military General Acute Care Hospital |
| A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as "pass-through" items. |
| Notes: [1/1/2005: title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326480369 | Dwight D Eisenhower Army Medical Center | Military Hospital | 300 E Hospital Rd, Dwight D. Eisenhower Army Medical Center, Fort Gordon, GA 30905 | 2013-07-18 |
| 1831487743 | United States Army | Military Hospital | 300 W Hospital Rd, Rm7a36, Fort Gordon, GA 30905-5741 | 2011-07-12 |
| 1316273360 | Dwight D. Eisenhower Army Medical Center | Military Hospital | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2009-10-27 |
| 1962695775 | Eisenhower Army Med Cen | Military Hospital | 300 W Hospital Rd Bldg W, Fort Gordon, GA 30905-5741 | 2007-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770664849 | Martin Army Hospital | Military Hospital | Tmc #5, 11th Airborne Division Road, Ft. Benning, GA 31901 | 2006-10-17 |
| 1861586778 | Martin Army Community Hospital | Military Hospital | 4025 River Rock Way, Columbus, GA 31907-1282 | 2006-10-03 |
| 1770528309 | Dept. of Veterans Affairs | Military Hospital | 1449 Stone Mill Trce, Stone Mtn, GA 30083-1526 | 2006-06-18 |
| 1588029763 | Tammy Anderson | Military Hospital | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2015-12-15 |
| 1760670731 | Carl Vinson Va Medical Center | Military Hospital | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2007-10-04 |
| City | FORT GORDON |
| Zip Code | 30905 |
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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.