FRANKLIN DEVON WADDELL (NPI# 1326029760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326029760 |
| Entity Type | Individual |
| Full Name | FRANKLIN DEVON WADDELL |
| Credential | M.D. |
| Practice Address |
49th Medical Group/sgpf 280 First Street, Bldg 23 Holloman Afb NM 88330-8273 |
| Practice Telephone | 5755722446 |
| Practice Fax Number | 5755722259 |
| Mailing Telephone | 5755722446 |
| Mailing Fax Number | 5755722259 |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2018-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD034602 | DC | Allopathic & Osteopathic Physicians |
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
MD034602 | DC | Allopathic & Osteopathic Physicians |
| Street Address |
49TH MEDICAL GROUP/SGPF 280 FIRST STREET, BLDG 23 |
| City | HOLLOMAN AFB |
| State | NM |
| Zip Code | 88330-8273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528379732 | Raquel Shelly Solivan | Military Health Care Provider | 49th Medical Group/sgpf, 280 First Street, Bldg 23, Holloman Afb, NM 88330-8273 | 2010-06-23 |
| 1467686154 | Hayley Michelle Crandall | Military Health Care Provider | 49th Medical Group/sgpf, 280 First Street, Bldg 23, Holloman Afb, NM 88330-8273 | 2009-05-08 |
| 1679756910 | Jo Ann Schroeder | Nurse Practitioner | 49th Medical Group/sgpf, 280 First St Bldg 23, Holloman Afb, NM 88330-8273 | 2007-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598312084 | Zachary James Smith | Pharmacist | 49th Medical Group 280 First Street, Holloman Afb, NM 88330 | 2019-08-20 |
| 1346776804 | Maxilea Isom | Behavior Technician | 2079 Eglin Ave Apt A, Holloman, Afb, NM 88330 | 2017-05-03 |
| 1932558665 | Courtney Davis | Day Training/Habilitation Specialist | 2228 La Luz Pkwy Unit A, Holloman Afb, NM 88330 | 2016-06-03 |
| 1568849255 | Ryan Abner | Registered Nurse | 49th Medical Building 17, Holloman Afb, NM 88330 | 2015-05-01 |
| 1710384292 | United States Air Force | Military Hospital | 49th Medical Bldg 17, Holloman Afb, NM 88330 | 2014-11-26 |
| 1174934764 | Jason Gordon | Social Worker | 1st Street Holloman Afb, Holloman Afb, NM 88330 | 2014-05-16 |
| 1649512807 | Philip Walker | Internal Medicine | 280 1st St, Holloman Afb, Alamogordo, NM 88330 | 2013-03-25 |
| 1275891889 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | 551 4th Street, Bldg. 227, Holloman Afb, NM 88330 | 2012-05-02 |
| 1568606317 | Kimberly Dawn Jensen | Internal Medicine | 280 1st St Bldg 15, 49 Mdg Holloman Afb, Holloman Afb, NM 88330 | 2009-04-23 |
| 1700042306 | Bettina Watkins | Family Medicine | 280 First St, Bldg 23, Holloman Afb, NM 88330 | 2008-08-03 |
| Find all providers in zip 88330 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639580574 | Joseph Abraham Parks | Preventive Medicine | Msc Physical Medicine & Rehabilitation, 1 University of New Mexico, Albuquerque, NM 87131 | 2014-05-14 |
| 1629043310 | Thomas D. Fadell Luna | Preventive Medicine | 2050 A Second St., Se, 377 Mdg/sgp, Kirtland Afb, NM 87117-5522 | 2006-02-17 |
| 1174502090 | Richard James Serkowski | Preventive Medicine | 511 N Torch Blvd, Bldg 300, Cannon Afb, NM 88103-5109 | 2006-01-10 |
| 1912465402 | Nicolas Ferry | Preventive Medicine | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2019-03-04 |
| 1558504068 | Logan D Jones | Preventive Medicine | 208 W Casablanca Ave Bldg 1400, Cannon Afb, NM 88103-5009 | 2009-04-14 |
| 1548477284 | Clarence Edward Cotton Jr. | Preventive Medicine | 27 Medical Group, Clovis, NM 88103-5014 | 2007-05-16 |
| 1609914431 | David A Sarnow | Preventive Medicine | 208 W Casablanca Ave, 27 Somdg/flight Medicine, Bldg 1400, Cannon Afb, NM 88103-5014 | 2007-02-02 |
| 1134192917 | Paul A. Young | Preventive Medicine | 2050a Second Street Se, Kirtland Afb, NM 87117-5522 | 2006-02-10 |
| 1114990280 | Mary Ann Terese Orzech | Preventive Medicine | 2050a 2nd St Se, Kirtland Afb, NM 87117-5522 | 2006-02-09 |
| 1326035676 | Walter Mark Matthews | Preventive Medicine | 208 W Casablanca Cannon Afb, Bldg 1400 27 Medical Group, Clovis, NM 88103-5014 | 2005-10-03 |
| Find all providers with the same taxonomy | ||||
| City | HOLLOMAN AFB |
| Zip Code | 88330 |
Please comment or provide details below to improve the information on FRANKLIN DEVON WADDELL.
| 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.