MR. MATTHEW VANDERLUGT (NPI# 1295188308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295188308 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW VANDERLUGT |
| Credential | PA-C |
| Practice Address |
18th Medical Group Unit 5142 Apo AP 96368 |
| Mailing Address |
Psc 80 Box 12239 Apo AP 96367-0025 |
| Practice Telephone | 7069937746 |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2019-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
18TH MEDICAL GROUP UNIT 5142 |
| City | APO |
| State | AP |
| Zip Code | 96368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356338065 | Kevin Dale Hettinger | Family Medicine | 18th Medical Group Unit 5142, Apo, AP 96368 | 2005-09-29 |
| 1013530203 | Jacqueline Marie Floyd | Nurse Practitioner | 18th Medical Group Unit 5142, Kadena Air Base, Apo, AP 96368 | 2020-05-21 |
| 1063943173 | Tiffany Chance | Nurse Practitioner | 18th Medical Group Unit 5142, Apo, AP 96368 | 2017-03-22 |
| 1720430051 | Amanda Johnson | Counselor | 18th Medical Group Unit 5142, Apo, AP 96368 | 2016-07-11 |
| 1982095915 | Kate M Berry | Nurse Practitioner | 18th Medical Group Unit 5142, Apo, AP 96368-5142 | 2015-02-12 |
| 1396159521 | Mack Andelin Peterson | Family Medicine | 18th Medical Group Unit 5142, Apo, AP 96368-5142 | 2014-06-16 |
| 1437599719 | Kasey Carl Welch | Family Medicine | 18th Medical Group Unit 5142, Apo, AP 96368 | 2013-07-01 |
| 1902245780 | Jonathon James Campbell | Student in an Organized Health Care Education/Training Program | 18th Medical Group Unit 5142, Apo, AP 96368 | 2013-06-14 |
| 1437405842 | Pablo R Rivera | Social Worker | 18th Medical Group Unit 5142, Apo, AP 96368 | 2012-08-03 |
| 1992064471 | Joshua Shields | Anesthesiology | 18th Medical Group Unit 5142, Apo, AP 96368-5142 | 2012-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063872703 | Halston Thayer | Dentist | 18th Medical Group. Unit 5142, Apo, AP 96368 | 2016-02-23 |
| 1912392333 | Jennifer Chilson | Military Health Care Provider | Bldg 3531 Unit 5247 B 10, Apo, AP 96368 | 2015-04-02 |
| 1811245962 | Greyson Leftwich | Dentist | 18th Medical Group, Bldg 626. Unit 5142, Apo, AP 96368 | 2012-08-21 |
| 1639440720 | Marta T Casbeer | Social Worker | Unit 4142, Apo, AP 96368 | 2012-01-20 |
| 1538454335 | Rachel Jeanty Asuquo | Internal Medicine | Kadena Air Base, Apo, AP 96368 | 2011-06-09 |
| 1730489451 | Laura Driver | Dentist | Kadena Afb 18 Mdg, Unit 5142, Apo, AP 96368 | 2010-10-28 |
| 1043442247 | Christina M Carter | Nurse Practitioner | 18th Med Group Unit 5142, Apo, AP 96368 | 2009-08-20 |
| 1659515070 | David J Billings | Military Health Care Provider | 353d Operations Support Squadron, Unit 5247 Box 10, Apo, AP 96368 | 2009-04-29 |
| 1427292226 | Melissa Anne Worley | Emergency Medical Technician, Paramedic | Bldg 3531, Kadena Ab Japan, Apo, AP 96368 | 2009-04-23 |
| 1922240571 | Richard H Caballero | Pharmacist | 18 Mdss Pharmacy, Unit 5268 Bld 626, Apo, AP 96368 | 2009-03-28 |
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| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747799 | John Daniel Generous | Physician Assistant | Bastogne St, Bldg 5-4257 Clark Health Clinic Fort Bragg, Apo, AA 18310 | 2020-10-16 |
| 1003375924 | Kevin Scott Floyd | Physician Assistant | Camp Humphrey's, Apo, AP 96271 | 2019-03-19 |
| 1346714946 | Kyle Rudolph | Physician Assistant | Camp Casey, 0037 Fa Bn 06 Field Artil, Apo, AP 96224-5543 | 2019-01-16 |
| 1952897076 | Alixandra Maria Mackey | Physician Assistant | Via Giorgio Corbetta 17, Apo, AE 36100 | 2018-07-02 |
| 1538652631 | Sung Chol Kim | Physician Assistant | 210th Fa Bde, Unit # 15564, Apo, AP 96224 | 2018-06-13 |
| 1174012959 | Jessica Ann Morley | Physician Assistant | Meddacb Cmr 411, Building 700, Apo, AE 09112 | 2018-05-07 |
| 1346748274 | Jonathan David Mays | Physician Assistant | Landstuhl Regional Medical Center (lrmc), Bldg 3758, Apo, AE 66849 | 2018-01-25 |
| 1710403654 | Dustin Young | Physician Assistant | Rose Barracks Bldg 260, Apo, AE 09112 | 2017-08-22 |
| 1518491984 | Aaron Vanderburg | Physician Assistant | Bldg S180 American Ave, Apo, AP 96260 | 2017-04-12 |
| 1700326493 | Matthew Perdue | Physician Assistant | Hhc 2id Sbde, Unit 15476, Apo, AP 96260-5476 | 2017-03-01 |
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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.