374TH MEDICAL GROUP YOKOTA AB USAF (NPI# 1477513125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477513125 |
| Entity Type | Organization |
| Organization Name | 374TH MEDICAL GROUP YOKOTA AB USAF |
| Practice Address |
Unit 5225 Apo AP 96328 5225 JP |
| Practice Telephone | 011813117558302 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHRISTOPHER DOUGLAS EATON (AIR FORCE UNIFORM BUSINESS OFFICE P) |
| Authorized Official Telephone | 7036816303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1101X |
Clinic/Center Specialization: Military and U.S. Coast Guard Ambulatory Procedure |
Ambulatory Health Care Facilities |
| Street Address |
UNIT 5225 |
| City | APO |
| State | AP |
| Zip Code | 96328 5225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740520337 | Cindy L Lan | Dentist | 374th Dental Squadron Yokota Ab, Apo, AP 96328 | 2013-02-19 |
| 1679834964 | Joshua W Donart | Internal Medicine | 374 Medical Group Internal Medicine Clinic, Unit 5071 Bldg 4408, Apo, AP 96328 | 2012-06-03 |
| 1306071048 | Jason Frederick Koesters | Dentist | 374 Mdg, Unit 5071, Apo, AP 96328 | 2009-05-26 |
| 1720221948 | Roberto Ocampo Gutierrez | Military Health Care Provider | Mdos, Unit 5227, Apo, AP 96328 | 2009-04-17 |
| 1285877498 | Stephen Jerome White | Military Health Care Provider | 374 Msgs/sgne, Unit 5071, Apo, AP 96328 | 2009-04-17 |
| 1396900536 | Jay Matthew Butler | Optometrist | 374th Medical Group/optometry, Yokota Air Base, Japan, Apo, AP 96328 | 2008-07-28 |
| 1689708588 | Wendy Irelan Conway | Obstetrics & Gynecology | 374 Mdg/sgopo, Unit 5071, Apo, AP 96328 | 2007-03-15 |
| 1154427631 | Von F. Borg | Counselor | Yokota Air Base, Unit 5071, Apo, AP 96328 | 2006-09-15 |
| 1649294810 | Doris Ann Boyd | Social Worker | 374 Mdos/sgomhf, Unit 5227, Apo, AP 96328 | 2006-07-27 |
| 1073558961 | Melissa L Tennant | Physical Therapist | Yokota Ab, Japan, Unit 5071, Apo, AP 96328 | 2006-06-17 |
| Find all providers in zip 96328 | ||||
| Taxonomy Code | 261QM1101X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military and U.S. Coast Guard Ambulatory Procedure |
| That part of a "fixed" (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial "take home" pharmaceuticals. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861477176 | Usaf Active Duty | Clinic/Center | 48th Medical Grp Raf Lakenheath, Unit 5210, Apo, AE 09464-5210 | 2005-12-09 |
| 1760550636 | 121st Csh/baach | Clinic/Center | Unit 15244, Apo, AP 96205-5244 | 2006-12-01 |
| 1982778114 | Bavaria Meddac | Clinic/Center | Attn Pad, Apo, AE 09244 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366640039 | Bmc Mcas Torii Station | Clinic/Center | Psc 482, Uniform Business Office, Fpo, AP 96362 | 2007-07-05 |
Please comment or provide details below to improve the information on 374TH MEDICAL GROUP YOKOTA AB USAF.
| 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.