USCG AIR STATION PORT ANGELES MEDCIAL/DENTAL CLINIC


Address: Commandant Uscg Hq (cg-1122), 2100 2nd Street, Washington, DC 20593-0001
Phone: 2022670801

USCG AIR STATION PORT ANGELES MEDCIAL/DENTAL CLINIC (NPI# 1477538361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477538361
Entity Type Organization
Organization Name USCG AIR STATION PORT ANGELES MEDCIAL/DENTAL CLINIC
Other Organization Name GERSHOWITZ CLINIC
Practice Address Commandant Uscg Hq (cg-1122)
2100 2nd Street
Washington
DC 20593-0001
Practice Telephone 2022670801
Mailing Telephone 2022670801
Enumeration Date 2005-12-13
Last Update Date 2010-08-18
NPI Deactivation Date 06/03/2008
NPI Reactivation Date 2010-08-17
Authorized Official Name STEPHEN J KINSLEY (SENIOR HEALTH SERVICES OFFICER)
Authorized Official Telephone 3604175894
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1100X Clinic/Center
Specialization: Military/U.S. Coast Guard Outpatient
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Gershowitz Clinic Other Name - Individual/Organization

Office Location

Street Address COMMANDANT USCG HQ (CG-1122)
2100 2ND STREET
City WASHINGTON
State DC
Zip Code 20593-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538144993 David Bruce Lloyd Dentist Commandant Uscg Hq (cg-1122), 2100 2nd Street, Washington, DC 20593-0001 2005-12-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982869939 Devon Avery Student in an Organized Health Care Education/Training Program 21002ndst Sw Swite 5314, Washington, DC 20593 2008-07-18
1922261056 Robert Harold Spicer Technician, Other 2100 2nd St, Comdt (cg-1122) U.S. Coasst Guard Suite 5314, Washington, DC 20593 2008-07-09
1235391772 Abby Joanna Shannon Dentist Uscg Base Ncr 2703 Martin Luther King Jr Ave Se, Washington, DC 20593 2008-06-26
1760642797 Sweet-charity May Keplinger Physician Assistant 2100 2nd St Sw Suite 5, Comdt ( Cg-1122) Us Coast Guard, Washington, DC 20593 2008-06-12
1730346719 Stephen M-l Tate Student in an Organized Health Care Education/Training Program 2100 2nd St Sw Suit, Comdt (cg-1122) Us Coast Guard, Washington, DC 20593 2008-05-19
1659409167 Marc J Capra Technician, Other Uscg Comdt (cg-1122), 2100 2nd St Sw Suite 5314, Washington, DC 20593 2007-02-28
1336220730 Christohper John Lisk Technician, Other 2100 2nd St Sw Suite 5314, Comdt (cg-1122) U.S. Coast Guard, Washington, DC 20593 2006-10-18
1013097674 James C. Morgan Military Health Care Provider Comdt (cg-1122), U.S. Coast Guard 2100 2nd St Sw, Suite 5314, Washington, DC 20593 2006-10-17
1811077613 Thomas Keith Heimann Technician, Other 2100 2nd St Sw, Suite 5314, Comdt (cg-1122), U. S. Coast Guard, Washington, DC 20593 2006-10-16
1447330246 Unitied States Coast Guard Technician, Other 2100 2nd St Sw Comdt (cg-1122), Suite 5314 Us Coast Guard, Washington, DC 20593 2006-10-16
Find all providers in zip 20593

Taxonomy Information

Taxonomy Code 261QM1100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Military/U.S. Coast Guard Outpatient

Taxonomy Definition

The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265639918 Branch Medical Clinic Washington Navy Yard Clinic/Center 915 N Street Southeast, Suite 210, Washington, DC 20374-5162 2007-06-27
1881897544 National Naval Medical Center Clinic/Center The Pentagon, Corridor 8, Washington, DC 20310-0001 2007-06-08
1467538371 Uscg Headquarters Support Command (k) Clinic/Center Comdt 2100 2nd St Sw, Cg-1122, Suite 5314, Washington, DC 20593-0001 2006-10-31
1033312798 Wramc Clinic/Center 6900 Georgia Ave, Usadc, Washington, DC 20310-0001 2007-06-08
1205042926 Wramc Clinic/Center Pentagon, Washington, DC 20310-0001 2007-05-16
1285759712 Uscg Ralph Nix Medical Clinic/Center Uscg Hq Comdt (cg-1122), 2100 Second Street South West, Washington, DC 20593-0001 2007-03-21
1740325380 Uscg Air Station Barbers Point Clinic Clinic/Center Comdt Cg-1122, Washington, DC 20593-0001 2007-02-21
1326191073 U.s Coast Guard Clinic/Center 2100 2nd St Sw, Suite 5314, Washington, DC 20593-0002 2007-01-18
1003968942 Uscg Isc San Pedro Clinic Clinic/Center 2100 2nd St Sw, Suite 5314, Washington, DC 20593-0002 2007-01-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154526812 Wramc Clinic/Center 103 3rd Ave Sw, Fort Mcnair, DC 20024-5120 2007-06-20

Competitor

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City WASHINGTON
Zip Code 20593

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Dataset Information

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.

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