DR. JOHN DOAN (NPI# 1518347939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518347939 |
| Entity Type | Individual |
| Full Name | DR. JOHN DOAN |
| Credential | D.O. |
| Practice Address |
23d Medical Group 3278 Mitchell Blvd Moody Afb GA 31699-1500 |
| Practice Telephone | 2292575523 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2018-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 076976 | GA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 076976 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 347 Operational Support Squadron, Bld 647, Moody Afb, GA 316990001 | 2292574685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770052730 | John Doan | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209-3925 | 2018-11-20 |
| 1851674659 | John Doan | Pharmacist | 175 Main St, Woburn, MA 01801-5628 | 2011-09-28 |
| 1609194398 | John Cuong Doan | Internal Medicine | 500 Ne Multnomah St Ste 100, Portland, OR 97232-2031 | 2010-05-05 |
| 1164684130 | John Tien Doan | Internal Medicine | 920 Stanton L Young Blvd # 1130, Oklahoma City, OK 73104-5020 | 2008-06-30 |
| Street Address |
23D MEDICAL GROUP 3278 MITCHELL BLVD |
| City | MOODY AFB |
| State | GA |
| Zip Code | 31699-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437145570 | Christopher Mark Grussendorf | Preventive Medicine | 23d Medical Group, 3278 Mitchell Blvd, Moody Afb, GA 31699-1500 | 2005-09-23 |
| 1528201886 | Wesley Preston Arnold | Physician Assistant | 23d Medical Group, 3278 Mitchell Blvd, Moody Afb, GA 31699-1500 | 2009-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771876 | Aldo Enrique Revilla | Psychologist | Bermiss Rd, Moody Afb, Valdosta, GA 31699 | 2017-10-13 |
| 1699903146 | Elizabeth L Fauber | Military Health Care Provider | 9551 Luke Street, Apo, AP 31699 | 2009-06-23 |
| 1063646230 | James Michael White | Military Health Care Provider | 3278 Mithell Blvd, Bldg. 900, Moody Afb, GA 31699 | 2009-05-04 |
| 1265415590 | Rosalie Andrea Castillo | Family Medicine | 347th Medical Group, 3278 Mitchell Blvd, Valdosta, GA 31699 | 2005-11-21 |
| 1902379555 | Amber Leigh Tordoff | Student in an Organized Health Care Education/Training Program | 23d Medical Group 3278 Mitchell Blvd, Building 900, Apo, AA 31699 | 2019-01-07 |
| 1083147367 | Jordan Robbins | Dentist | 23rd Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699 | 2017-04-04 |
| 1912350877 | Sandra H Stuart | Dietitian, Registered | 3278 Mitchell Blvd, 23d Medical Group, Valdosta, GA 31699 | 2016-07-15 |
| 1407293418 | Clayton Lively | Psychiatry & Neurology | 3278 Mitchell Blvd, Moody Afb, GA 31699 | 2013-05-30 |
| 1174899371 | Vincent Casey Allen Jr. | Psychologist | 3278 Mitchell Blvd, Moody Afb, GA 31699 | 2012-04-01 |
| 1518364678 | Rachel Collins | Specialist/Technologist | 23 Mdos Sgoy, 3278 Mitchell Blvd, Moody Afb, GA 31699-0001 | 2014-12-04 |
| Find all providers in zip 31699 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427439165 | Armand Allkanjari | General Practice | 3278 Mitchell Blvd, Moody Afb, GA 31699-1500 | 2015-06-17 |
| 1033217633 | Christina Marie Welch | General Practice | General Delivery, Moody Afb, GA 31699-0001 | 2006-09-20 |
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| Find all providers with the same taxonomy | ||||
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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.