USAMEDDAC-JAPAN (NPI# 1336589993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336589993 |
| Entity Type | Organization |
| Organization Name | USAMEDDAC-JAPAN |
| Practice Address |
Bg Sams Ahc, Usameddac-japan Mcja-pm, Unit 45011 Apo AP 96343-5011 |
| Practice Telephone | 3152635050 |
| Practice Fax Number | 3152634100 |
| Mailing Telephone | 3152635050 |
| Mailing Fax Number | 3152634100 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |
| Authorized Official Name | DR. MICHAEL BRUMAGE (DEPUTY CHIEF OF CLINICAL SERVICES) |
| Authorized Official Telephone | 3152634606 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1103X |
Clinic/Center Specialization: Military Ambulatory Procedure Visits Operational (Transportable) |
0001227332 | VA | Ambulatory Health Care Facilities |
| Street Address |
BG SAMS AHC, USAMEDDAC-JAPAN MCJA-PM, UNIT 45011 |
| City | APO |
| State | AP |
| Zip Code | 96343-5011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822411 | Jennifer Marie Peruccio | Registered Nurse | Bg Sams Army Health Clinic, Usameddac-japan, Bldg 704 Unit 45011, Apo, AP 96343 | 2017-10-12 |
| 1548249923 | Gordon J Lyons | Social Worker | Edis Zama/atsugi, Sagamihara Dha, Apo, AP 96343 | 2006-01-12 |
| 1174084875 | Jennifer Nicole Buffard | Registered Nurse | Unit 45011, Apo, AP 96343 | 2019-03-26 |
| 1205288347 | Qwameshia Plummer | Dental Assistant | Usa Dental Activtiy Japan, Unit 45011, Bldg 704, Apo, AP 96343-5011 | 2016-07-12 |
| 1326495581 | Trina Primm | Registered Nurse | Meddac Japan, Unit 45011, Apo, AP 96343-5011 | 2016-05-18 |
| 1316355977 | Tonya Marie Heredia | Registered Nurse | Mcja-nur Unit 45011, Apo, AP 96343-5011 | 2014-07-28 |
| 1174942775 | Jason Miller | Registered Nurse | Usameddac-japan, Bg Sams Army Health Clinic, Unit 45011, Apo, AP 96343-5011 | 2014-04-10 |
| 1760813950 | Robert Eugene Fraser | Registered Nurse | Us Army Medical Department Activity-japan, Unit 45011, Apo, AP 96343-5011 | 2013-12-12 |
| 1912337585 | Kimberly Futrell | Registered Nurse | Dept of The Army, Bg Sams, Usameddac-japan, Mcja-nur Unit 45011, Apo, AP 96343-5011 | 2013-11-19 |
| 1760742738 | Michael Eugene Wylie | Emergency Medical Technician, Basic | Headquarters, Us Army Medical Department Activity-japan, Bg Crawford F. Sams, Us Army Health Clinic, Unit 45011, Apo, AP 96343-5011 | 2012-05-23 |
| Find all providers in zip 96343 | ||||
| Taxonomy Code | 261QM1103X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military Ambulatory Procedure Visits Operational (Transportable) |
| "Non-fixed" facilities or distinct parts of a "non-fixed" facility, providing outpatient surgical procedures requiring medically supervised recovery. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial "take home" pharmaceuticals. |
| Notes: [1/1/2005: new] |
Please comment or provide details below to improve the information on USAMEDDAC-JAPAN.
| 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.