DWIGHT D. EISENHOWER ARMY MEDICAL CENTER


Address: 300 W Hospital Rd, Fort Gordon, GA 30905-5741
Phone: 7067879358

DWIGHT D. EISENHOWER ARMY MEDICAL CENTER (NPI# 1316273360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316273360
Entity Type Organization
Organization Name DWIGHT D. EISENHOWER ARMY MEDICAL CENTER
Practice Address 300 W Hospital Rd
Fort Gordon
GA 30905-5741
Mailing Address 300 Hospital Road
Apo
AA 30905
Practice Telephone 7067879358
Mailing Telephone 7067879358
Enumeration Date 2009-10-27
Last Update Date 2009-10-27
Authorized Official Name DR. MICHAEL FRIEDMAN (PROGRAM DIRECTOR)
Authorized Official Telephone 7067879358
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2865M2000X Military Hospital
Specialization: Military General Acute Care Hospital
Hospitals

Office Location

Street Address 300 W HOSPITAL RD
City FORT GORDON
State GA
Zip Code 30905-5741

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2865M2000X
Grouping Hospitals
Classification Military Hospital
Specialization Military General Acute Care Hospital

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
1962695775 Eisenhower Army Med Cen Military Hospital 300 W Hospital Rd Bldg W, Fort Gordon, GA 30905-5741 2007-08-24

Providers in the same taxonomy and state

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

Competitor

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City FORT GORDON
Zip Code 30905

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Dataset Information

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.

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