JUAN FULGENCIO MERCADO GUZMAN (NPI# 1407204829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407204829 |
| Entity Type | Individual |
| Full Name | JUAN FULGENCIO MERCADO GUZMAN |
| Credential | PA-C |
| Practice Address |
18th Medical Group Unit 5142 Apo AP 96368 |
| Mailing Address |
Psc 80 Box 17378 Apo AP 96367-0076 |
| Practice Telephone | 3156304780 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2020-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 96 Mdss/sgne, 307 Boatner Rd, Eglin Afb, FL 32542 | 8508838448 |
| Street Address |
18TH MEDICAL GROUP UNIT 5142 |
| City | APO |
| State | AP |
| Zip Code | 96368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427047919 | Kenneth Arthur Conner | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2005-10-18 |
| 1891329462 | Nora Kohri | Social Worker | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2020-02-23 |
| 1255892394 | Spencer Kennedy Smith | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2019-03-29 |
| 1245713940 | Anthony J Sanger | Social Worker | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2018-09-10 |
| 1811474661 | Yangdi Zhou | Dentist | 18th Medical Group, Apo, AP 96368-5142 | 2018-07-24 |
| 1992293682 | Julianne Elizabeth Pilla | Military Health Care Provider | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2018-04-27 |
| 1053835181 | Bonnie Le | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2017-07-31 |
| 1578086872 | Julia Vu | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2017-07-19 |
| 1205358587 | Michele Ferrer Schantz | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2017-07-08 |
| 1629517719 | Blake Lewis Tollison | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2017-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063872703 | Halston Thayer | Dentist | 18th Medical Group. Unit 5142, Apo, AP 96368 | 2016-02-23 |
| 1912392333 | Jennifer Chilson | Military Health Care Provider | Bldg 3531 Unit 5247 B 10, Apo, AP 96368 | 2015-04-02 |
| 1811245962 | Greyson Leftwich | Dentist | 18th Medical Group, Bldg 626. Unit 5142, Apo, AP 96368 | 2012-08-21 |
| 1639440720 | Marta T Casbeer | Social Worker | Unit 4142, Apo, AP 96368 | 2012-01-20 |
| 1538454335 | Rachel Jeanty Asuquo | Internal Medicine | Kadena Air Base, Apo, AP 96368 | 2011-06-09 |
| 1730489451 | Laura Driver | Dentist | Kadena Afb 18 Mdg, Unit 5142, Apo, AP 96368 | 2010-10-28 |
| 1043442247 | Christina M Carter | Nurse Practitioner | 18th Med Group Unit 5142, Apo, AP 96368 | 2009-08-20 |
| 1659515070 | David J Billings | Military Health Care Provider | 353d Operations Support Squadron, Unit 5247 Box 10, Apo, AP 96368 | 2009-04-29 |
| 1427292226 | Melissa Anne Worley | Emergency Medical Technician, Paramedic | Bldg 3531, Kadena Ab Japan, Apo, AP 96368 | 2009-04-23 |
| 1922240571 | Richard H Caballero | Pharmacist | 18 Mdss Pharmacy, Unit 5268 Bld 626, Apo, AP 96368 | 2009-03-28 |
| Find all providers in zip 96368 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134752819 | Heather Meier | Physician Assistant | Meddac K/tmc, Unit 15609, Apo, AP 96224 | 2020-02-20 |
| 1336623172 | Matthew Gregory Henderson | Physician Assistant | Psc 311, Us Army, Apo, AP 96258 | 2018-09-18 |
| 1114431301 | Dean M Kot | Physician Assistant | Mxf, Kelly St, Apo, AA 36112 | 2017-11-27 |
| 1346677697 | Rita-lynn Anderson Dumlao | Physician Assistant | Psc 704 Box 2802, Apo, AP 96338-0009 | 2013-10-01 |
| 1841634474 | Christopher Scott Schloff | Physician Assistant | Usa Meddac Korea, Unit #15244, Apo, AP 96205-5244 | 2013-04-25 |
| 1073876165 | Erika Walker | Physician Assistant | Wood Medical Clinic, Camp Walker, Apo, AP 96218 | 2012-06-22 |
| 1700160827 | Alexander Kryvenia | Physician Assistant | Unit 3275, Apo, AE 09094-3275 | 2011-10-07 |
| 1427200302 | Heather Sevan Atamian | Physician Assistant | Bldg 201 Ledward Barracks, Unit 26610, Apo, AE 09244 | 2008-10-22 |
| 1336390301 | Colt Jefferson Crutchfield | Physician Assistant | Hhc 2-28 Inf Bn, Apo, AE 09114-0000 | 2008-10-08 |
| 1659527166 | Curtis Russell Driver | Physician Assistant | Hovey Ctas, Bldg 4025, Apo, AP 96224 | 2008-08-15 |
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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.