DR. JEFFREY ALLAN DAMASCHKE (NPI# 1427021807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427021807 |
Entity Type | Individual |
Full Name | DR. JEFFREY ALLAN DAMASCHKE |
Credential | DPT, MS, OCS |
Practice Address |
3001 6th St Physical Therapy Department Great Lakes IL 60088-2833 |
Practice Telephone | 8476882368 |
Mailing Telephone | 8476882368 |
Enumeration Date | 2006-02-08 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171000000X | Military Health Care Provider | WI | Other Service Providers |
Street Address |
3001 6TH ST PHYSICAL THERAPY DEPARTMENT |
City | GREAT LAKES |
State | IL |
Zip Code | 60088-2833 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184610446 | Myron William Yencha | Otolaryngology | 3001 6th St, Dept Otolaryngology, Naval Hospital, Great Lakes, IL 60088-2833 | 2005-09-22 |
1689991507 | Heather Nimmagadda | Nurse Practitioner | 3001 6th St, Great Lakes, IL 60088-2833 | 2010-05-02 |
1811178486 | Stephen Schultz | Dentist | 3001 6th St, Great Lakes, IL 60088-2833 | 2007-11-23 |
1245434513 | John Dangca Vasquez | Military Health Care Provider | 3001 6th St, Great Lakes, IL 60088 | 2007-06-12 |
1396871166 | Michael Philip Fee | Dentist | 3001 6th St, Ste A Naval Health Clinics, Great Lakes, IL 60088-2833 | 2007-02-26 |
1184773012 | Orlando Lopez | Physician Assistant | 3001 6th St, Great Lakes, IL 60088-2833 | 2007-01-09 |
1013004928 | Karen Leone | General Practice | 3001 6th St, Suite A, Great Lakes, IL 60088-2833 | 2006-10-10 |
1144278557 | Marla Crill Heller | Dietitian, Registered | 3001 6th St, A, Great Lakes, IL 60088-2833 | 2006-05-05 |
1609832187 | James Allen Westra | Pathology | 3001 6th St, Buiding 200h Laboratory, Great Lakes, IL 60088-2833 | 2006-04-25 |
1871559633 | Donald Joseph Bezdek | Dentist | 3001 6th St, Great Lakes, IL 60088-2833 | 2006-04-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043858228 | Kathryn Ann Bird | Dentist | 3440 W Ohio St, Uss Osborne Branch Dental Clinic, Great Lakes, IL 60088 | 2019-12-18 |
1740775576 | Jonathan William Criter | Dentist | 3400 Ohio St, Great Lakes, IL 60088 | 2018-06-25 |
1134598733 | True Xiong | Dentist | Zachary & Elizabeth Fisher Medical & Dental Clinic, 2470 Sampson Street, Apo, AA 60088 | 2015-09-24 |
1447685771 | Lisa Carol Perrone | Dentist | Fhcc Lovell Bldg 237 Dental, Navsta Great Lakes, North Chicago, IL 60088 | 2013-09-05 |
1437438421 | David Lawrence Green | Dentist | 2410 Samson St., Bldg 237, Great Lakes, IL 60088 | 2011-08-09 |
1164730602 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois Street, Great Lakes, IL 60088 | 2010-09-17 |
1598073439 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 | 2010-09-14 |
1164736302 | Clinton Lariscy | Military Health Care Provider | 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 | 2010-07-29 |
1083943906 | James Doll | Dentist | 2608 Paul Jones St, Great Lakes, IL 60088 | 2009-12-24 |
1396996823 | Kelly Robert Lanning | Dentist | 3001 A 6th St Bhc 237, Naval Hospital Great Lakes- Dental Dept., Great Lakes, IL 60088 | 2008-10-02 |
Find all providers in zip 60088 |
Taxonomy Code | 171000000X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
Notes: [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154380947 | Eden U Padilla | Military Health Care Provider | Uss Red Rover, Recruit Training Center, Great Lakes, IL 60088 | 2006-03-21 |
1730151069 | Michael Hunter Anderson | Military Health Care Provider | 3001 6th St, Great Lakes, IL 60088-2833 | 2006-02-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669869764 | Benjamin Pittman | Military Health Care Provider | Uss Tranquility (bhc 1007), Capt James A Lovell Federal Health Care Center, North Chicago, IL 60064 | 2015-04-16 |
1346638566 | Brandon C. Wagenaar | Military Health Care Provider | 1245 S Michigan Ave Ste 215, Chicago, IL 60605-2408 | 2014-12-23 |
1235430737 | Megan Elizabeth Schelp | Military Health Care Provider | 5820 N Kenmore Ave, Apartment 404, Chicago, IL 60660-3765 | 2010-11-15 |
1932434339 | Tasha Oakley | Military Health Care Provider | 104 Kenwood Ct Apt 1, Normal, IL 61761-4707 | 2009-10-02 |
1861512501 | Leigh Karole Grannan | Military Health Care Provider | 625 Wham Dr - Mailcode 6607, Center for Autism Spectrum Disorders, Carbondale, IL 62901-4313 | 2007-03-29 |
1215033790 | Jerzy Feliks Zadecki | Military Health Care Provider | 930 Mapleton Ave, Oak Park, IL 60302-1404 | 2006-09-15 |
1073575692 | Teresita Hernandez Huang | Military Health Care Provider | 3450 Riverside Dr, Wilmette, IL 60091-1062 | 2006-04-06 |
1144281882 | Luningning Gayapa Madamba | Military Health Care Provider | 5332 N Kildare Ave, Chicago, IL 60630-1759 | 2006-03-31 |
1225439045 | Erin O'connor | Military Health Care Provider | 310 W Losey St, Scott Air Force Base, IL 62225-5250 | 2014-09-11 |
1376704783 | Richard Neal Craig | Military Health Care Provider | 2401 W Main St, Va Medical Center, Marion, IL 62959-1188 | 2008-06-18 |
Find all providers with the same taxonomy |
City | GREAT LAKES |
Zip Code | 60088 |
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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.