31 MEDICAL GROUP (NPI# 1306095104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306095104 |
| Entity Type | Organization |
| Organization Name | 31 MEDICAL GROUP |
| Practice Address |
Psc 103 Box 3186 Apo AE 09603-0032 |
| Practice Telephone | 0434305038 |
| Mailing Telephone | 0434305038 |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |
| Authorized Official Name | MRS. PENELOPE FRANKLIN GORSUCH (NURSE PRACTITIONER) |
| Authorized Official Telephone | 0434305038 |
| Authorized Official Credential | ACNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | 089304 | GA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225263155 | 31 Medical Group | General Acute Care Hospital | 31 Amds/sgpf, Unit 6180 Box 245, Apo, AE 09601-0245 | 2009-05-21 |
| Street Address |
PSC 103 BOX 3186 |
| City | APO |
| State | AE |
| Zip Code | 09603-0032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104816693 | Marian D Avoy | Social Worker | Psc 103 Box 4827, Apo, AE 09603 | 2005-10-26 |
| 1134119704 | Jennie Sibley Sheffield | Psychologist | Psc 103 Box 4633, Apo, AE 09603 | 2005-10-25 |
| 1194714576 | Laura Brodhag | Family Medicine | Psc 103 Box 3615, Apo, AE 09603 | 2005-10-18 |
| 1538394341 | Robyn Rosemary Ponomar-ford | Military Health Care Provider | Psc 103 Box 245, Apo, AE 09603-0003 | 2009-05-22 |
| 1164960365 | Matthew Joseph Coen | Dentist | Psc 103 Box 553, Apo, AE 09603-0006 | 2017-02-08 |
| 1912136342 | Benjamin Dwayne Jones | Physician Assistant | 677 Psc 103, Apo, AE 09603-0007 | 2009-07-07 |
| 1881605285 | Yolanda Porter | Pharmacist | Psc 103 Box 1044, Apo, AE 09603-0011 | 2006-08-10 |
| 1578706792 | Denise Diane Hyre | Military Health Care Provider | Psc 103 Box 1328, Apo, AE 09603-0014 | 2009-04-17 |
| 1730591629 | Amanda Mary-beth Wagnild | Lactation Consultant, Non-RN | Psc 103 Box 2652, Apo, AE 09603-0027 | 2014-05-27 |
| 1538394564 | Usaf | Military Hospital | Psc 103 Box 2882, Apo, AE 09603-0029 | 2009-05-20 |
| Find all providers in zip 09603 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689121006 | Carl Darnall Army Medical Center | Military Hospital | Carl Darnall Army Medical Center, 36065 Sante Fe Ave, Apo, AA 76544-9997 | 2016-09-01 |
| 1790181642 | Romeo Ayalin IIi | Military Hospital | Psc 78 Box 999, Apo, AP 96326-0009 | 2014-11-05 |
| 1295155141 | Matthew Middleton Fanning | Military Hospital | B Co, 121st Csh, Box #344, Unit #15244, Apo, AP 96205 | 2014-04-18 |
| 1760723894 | Meddac J | Military Hospital | Psc 704 Box 3304, Apo, AP 96338-0014 | 2013-03-14 |
| 1306108394 | Landstuhl Regional Medical Center | Military Hospital | Landstuhl Regional Medical Cneter, Cmr 402, Apo, AE 09180-0000 | 2012-06-14 |
| 1902103880 | Us Army Health Clinic Baumholder | Military Hospital | Usahc-baumholder, Unit 23809 Box 52, Apo, AE 09034-0077 | 2011-02-11 |
| 1831418904 | Us Army Medical Department Activity Korea Unit 15244 Apo Ap 96205-5244 | Military Hospital | Hhd Usag Cp Casey, Unit# 15543, Apo, AP 96224-5543 | 2010-05-27 |
| 1598083461 | Department of The Army | Military Hospital | Us Army Medical Department Activity-korea, Unit 15244, Apo, AP 96205-5244 | 2010-05-17 |
| 1619104551 | Matthew Vincent Taddei | Military Hospital | A Co 121 Csh, Unit 15244 Box 151, Apo, AP 96205-5244 | 2009-06-18 |
| 1396972238 | United States Air Force | Military Hospital | Psc 3 Box 692, Apo, AP 96266 | 2009-06-18 |
| Find all providers in APO | ||||
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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.