DR. GARRETT WAYNE DUCKWORTH JR. (NPI# 1316915168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316915168 |
| Entity Type | Individual |
| Full Name | DR. GARRETT WAYNE DUCKWORTH JR. |
| Credential | M.D. |
| Practice Address |
Puget Sound Naval Shipyard Branch Health Clinic 1400 Farragut Ave, Bldg 940 Bremerton WA 98314-0001 |
| Practice Telephone | 3604766873 |
| Practice Fax Number | 3604762480 |
| Mailing Telephone | 3604766873 |
| Mailing Fax Number | 3604762480 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2009-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MD00041802 | WA | Allopathic & Osteopathic Physicians |
| N | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
MD00041802 | WA | Allopathic & Osteopathic Physicians |
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
MD00041802 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
PUGET SOUND NAVAL SHIPYARD BRANCH HEALTH CLINIC 1400 FARRAGUT AVE, BLDG 940 |
| City | BREMERTON |
| State | WA |
| Zip Code | 98314-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861599623 | Naval Hospital Bremerton | Military/U.S. Coast Guard Pharmacy | 1400 Farragut Ave # Code063, Bremerton, WA 98314 | 2006-09-20 |
| 1457554776 | Branch Medical Clinic Puget Sound | Clinic/Center | 1400 Farragut Ave, Bldg 940, Bremerton, WA 98314 | 2007-06-06 |
| 1790324820 | Gretchen Gamradt | Social Worker | Puget Sound Navy Shipyard 1400 Farragut Ave, Bremerton, WA 98314-0001 | 2020-01-07 |
| 1669429213 | Alan D Garrigus | Military Health Care Provider | Branch Health Clinic Psns, 1400 Farragu Ave, Bremerton, WA 98314-0001 | 2006-05-28 |
| 1457443806 | Francesca Felice Avellina | Optometrist | 1400 Farragut Ave Bldg 940, Bremerton, WA 98314-6001 | 2006-09-29 |
| 1659342731 | Helen May Brady | Physician Assistant | 1400 Farragut Ave, Psns Bhc, Bremerton, WA 98314-6001 | 2006-01-27 |
| 1366499253 | Georges Custodio Taino | Military Health Care Provider | 1400 Farragut Ave, Bremerton, WA 98314-6001 | 2006-05-27 |
| 1114991858 | Chris Foust Connelly | Preventive Medicine | 1400 Farragut Ave, Bremerton, WA 98314-6001 | 2006-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274250 | Francine Marie Morales | Massage Therapist | 1320 Worrall Dr, Bremerton, WA 98310-3629 | 2020-10-31 |
| 1851990477 | Leticeia Scott | Counselor | 2618 Deschutes Pl Apt 3, Bremerton, WA 98312-6015 | 2020-10-23 |
| 1245844497 | Bremerton Mc Operations, LLC | Assisted Living Facility | 3510 9th St, Bremerton, WA 98312-3544 | 2020-09-04 |
| 1538772439 | Glend Ylagan | Registered Nurse | 3030 Ne Loyola St, Bremerton, WA 98311-4014 | 2020-08-28 |
| 1104439801 | Rachel Pamela Stamey | Doula | 635 Times Ave, Bremerton, WA 98312-3715 | 2020-08-24 |
| 1598374803 | Brandy Joy Stuart | Midwife | 1141 Marguerite Ave, Bremerton, WA 98337-1130 | 2020-07-23 |
| 1659997856 | Claudet Berrones | Behavior Technician | 3651 Wheaton Way, Bremerton, WA 98310-3532 | 2020-06-23 |
| 1215553805 | Bay Pointe Al Mc Gr, LLC | Assisted Living Facility | 966 Oyster Bay Ct, Bremerton, WA 98312-2472 | 2020-06-19 |
| 1285259267 | Tekiai A Km-wr Cerer | Behavior Technician | 2669 Duwamish Cir Apt 2, Bremerton, WA 98312-6021 | 2020-06-15 |
| 1558985994 | Shuk C Ting | Registered Nurse | 2635 E Phinney Bay Dr, Bremerton, WA 98312-2767 | 2020-06-02 |
| Find all providers in BREMERTON | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386870467 | Eric V Barton | Preventive Medicine | 1 Boone Rd, Bremerton, WA 98312-1894 | 2009-06-03 |
| 1821068982 | Daniel Earl Frederick | Preventive Medicine | 1 Boone Rd, Bremerton, WA 98312-1894 | 2006-01-23 |
| 1730170747 | Larry Brennen Smick | Preventive Medicine | 1 Boone Road, Naval Hospital Bremerton Medical Credituals, Bremerton, WA 98312-1898 | 2005-10-31 |
| 1588654313 | Thomas Arthur Snead | Preventive Medicine | 1 Boone Rd, Bremerton, WA 98312-1894 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003276411 | Workwell Consultants, LLC | Preventive Medicine | 818 W Riverside Ave Ste 100, Spokane, WA 99201-0910 | 2016-02-26 |
| 1336481183 | Srivani Kanumuri | Preventive Medicine | 16690 Redmond Way Ste C, Redmond, WA 98052-4434 | 2013-03-20 |
| 1720323116 | Morley Slutsky | Preventive Medicine | 4580 Klahanie Dr. S.e.,#125, Issaquah, WA 98029 | 2012-12-11 |
| 1932358744 | Ann Tu | Preventive Medicine | Oem Program, 325 9th Ave, Box 359739, University of Washington, Seattle, WA 98104 | 2008-09-17 |
| 1447370879 | Indrek Melder | Preventive Medicine | 1979 Snyder St Ste 150, Richland, WA 99354-5321 | 2007-03-30 |
| 1366509259 | Clyde H. Wilson | Preventive Medicine | 3223 1st Avenue South, Suite C, Seattle, WA 98134 | 2007-01-02 |
| 1831262260 | Steven Michael Hall | Preventive Medicine | 120 1st Ave Nw, Issaquah, WA 98027-3228 | 2006-11-15 |
| 1811954092 | Douglas Fredrick Phillip | Preventive Medicine | 30042 12th Ln Sw, Federal Way, WA 98023-3448 | 2006-04-30 |
| 1366408353 | Paul S Darby | Preventive Medicine | 1930 Port of Tacoma Rd., Franciscan Occupational Health, Tacoma, WA 98421 | 2006-04-26 |
| 1841270311 | U.S. Healthworks Medical Group of Arkansas, Inc. | Preventive Medicine | 1100 Virginia St, Suite 215, Seattle, WA 98101-1439 | 2006-01-19 |
| Find all providers with the same taxonomy | ||||
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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.