DR. JOHN C MOFFITT (NPI# 1356514053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356514053 |
Entity Type | Individual |
Full Name | DR. JOHN C MOFFITT |
Credential | MD |
Practice Address |
6600 Van Aalst Blvd Ft Benning GA 31905-6100 |
Mailing Address |
1609 Wells Dr Columbus GA 31906-1663 |
Practice Telephone | 7624082273 |
Mailing Telephone | 7624082273 |
Enumeration Date | 2008-04-02 |
Last Update Date | 2016-05-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528095171 | John Joseph Moffitt | Otolaryngology | 927 Russell Dr, Lebanon, PA 17042-7487 | 2006-06-27 |
1649320581 | John P Moffitt | Psychologist | 415 Gibson Ln, Richmond, KY 40475-2577 | 2007-01-11 |
1821193475 | John M. Moffitt | Dentist | 210 Valley Mall Pkwy, East Wenatchee, WA 98802-7728 | 2006-09-14 |
1326061557 | John Scott Moffitt | Dentist | 15515 3rd Ave Sw, Suite A, Burien, WA 98166-2553 | 2006-07-26 |
Street Address |
6600 VAN AALST BLVD |
City | FT BENNING |
State | GA |
Zip Code | 31905-6100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083094221 | Elizabeth Francis Hunt | Social Worker | 6600 Van Aalst Blvd, Ft Benning, GA 31905 | 2015-06-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134741366 | Micah Elizabeth Lajoie | Specialist/Technologist | 7148 2nd Cavalry Street, Ft. Benning, GA 31905 | 2020-05-11 |
1598301384 | Tiffany Nicole Wolfe | Physical Therapist | 7446 Sightseeing Road, Bldg 2515, Ft Benning, GA 31905 | 2019-11-27 |
1790261022 | Kyle Joseph Burkardt | Dentist | Love Dental Clinic, 7101 Hoff St, Bldg 9240, Apo, AA 31905 | 2018-07-19 |
1821514449 | Rebekah Schott | Dentist | 7101 Hoff St., Fort Benning, GA 31905 | 2017-08-15 |
1043757677 | Karen Tolliver | Dental Hygienist | 7770 Sightseeing Rd, Bldg 2828, Fort Benning, GA 31905 | 2017-01-20 |
1356897953 | Katelyn Dolezal | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd, Bldg 9250, Fort Benning, GA 31905 | 2016-09-01 |
1043663636 | Vicky J. Nehl | Dental Hygienist | 11th Abn Div Rd, Bldg 3255, Fort Benning, GA 31905 | 2016-07-19 |
1376992719 | Xenia Key | Dental Assistant | 7770 Sightseeing Road, Bernheim Dental Clinic, Fort Benning, GA 31905 | 2016-06-07 |
1588013189 | Barbara Parker | Dental Assistant | 2828 Sightseeing Rd, Fort Benning, GA 31905 | 2016-06-06 |
1568811255 | Tavonna Ashley | Dental Hygienist | 7107 Hoff Street, Apo, AA 31905 | 2016-06-03 |
Find all providers in zip 31905 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205458155 | Preston John Dehan | Student in an Organized Health Care Education/Training Program | Martin Army Community Hospital, 6600 Van Aalst Blvd, Bldg 9250, Ft Benning, GA 31905 | 2020-05-14 |
1710509674 | Zachary Paul Thompson | Student in an Organized Health Care Education/Training Program | Martin Army Community Hospital, 660 Van Aalst Blvd, Bldg 9250, Ft Benning, GA 31905 | 2020-05-14 |
1649762592 | Douglas May Jr. | Student in an Organized Health Care Education/Training Program | Martin Army Community Hospital, 6600 Van Aalst Blvd, Ft Benning, GA 31905 | 2018-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912508540 | Robert Owen Calvert IIi | Student in an Organized Health Care Education/Training Program | 10734 Bossier Dr, Johns Creek, GA 30022-7977 | 2020-11-02 |
1194323469 | Kathlynn Barber | Student in an Organized Health Care Education/Training Program | 248 Sunset Ridge Dr, Newnan, GA 30263-7704 | 2020-10-09 |
1063019917 | Shayla Robinson | Student in an Organized Health Care Education/Training Program | 1887 Hudson Xing Apt 9, Tucker, GA 30084-5661 | 2020-10-05 |
1639786460 | Clarissa Chamorro | Student in an Organized Health Care Education/Training Program | 840 Old Alabama Rd Sw, Mableton, GA 30126-4108 | 2020-09-25 |
1417563909 | Josephine Almanzar | Student in an Organized Health Care Education/Training Program | 199 Armour Dr Ne Ste E, Atlanta, GA 30324-3973 | 2020-09-20 |
1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
1487269338 | Nhu Ai Thi Vo | Student in an Organized Health Care Education/Training Program | 5295 Locomotive Ln, Norcross, GA 30071-2751 | 2020-09-08 |
1669087516 | Nurin Ghazzawi | Student in an Organized Health Care Education/Training Program | 1953 Valley Ridge Ln, Duluth, GA 30096-6024 | 2020-09-08 |
1871107029 | Ashlie Simmons | Student in an Organized Health Care Education/Training Program | 40 Hardwood Forest Cir, Brunswick, GA 31525-4738 | 2020-09-04 |
1427660166 | Kassie Howard | Student in an Organized Health Care Education/Training Program | 2601 Northlake Dr # 1722, Suwanee, GA 30024-2942 | 2020-08-22 |
Find all providers with the same taxonomy |
City | FT BENNING |
Zip Code | 31905 |
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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.