RADER CLINIC (NPI# 1518958545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518958545 |
| Entity Type | Organization |
| Organization Name | RADER CLINIC |
| Practice Address |
401 Carpenter Rd Fort Myer VA 22211-1009 |
| Practice Telephone | 7036963447 |
| Mailing Telephone | 7036963447 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2013-05-14 |
| Authorized Official Name | STACY EVA USHER (FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 7036963447 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
495950 | CA | Ambulatory Health Care Facilities |
| Street Address |
401 CARPENTER RD |
| City | FORT MYER |
| State | VA |
| Zip Code | 22211-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104430677 | Austin Wayne Williams | Dental Assistant | 401 Carpenter Rd, Fort Myer, VA 22211-1009 | 2020-09-02 |
| 1750740502 | Jennifer Marie Westcott | Dietitian, Registered | 401 Carpenter Rd, Bldg 525, Rm 1065, Fort Myer, VA 22211-1009 | 2016-02-22 |
| 1427471572 | Kathryn Nicole Morrill | Social Worker | 401 Carpenter Rd, Fort Myer, VA 22211-1009 | 2014-01-27 |
| 1255753893 | Anh Trieu | Pharmacist | 401 Carpenter Rd, Building 525 Room 125, Fort Myer, VA 22211-1009 | 2014-01-16 |
| 1831510627 | Vanessa Bonner | Physical Therapist | 401 Carpenter Rd, Fort Myer, VA 22211-1009 | 2013-12-20 |
| 1457789208 | Lucy Duckworth | Registered Nurse | 401 Carpenter Rd, Fort Myer, VA 22211-1009 | 2013-10-14 |
| 1245667005 | Sandra Carr | Registered Nurse | 401 Carpenter Rd, Fort Myer, VA 22211-1009 | 2013-10-10 |
| 1285060186 | Janet Ann Cvrk | Registered Nurse | 401 Carpenter Rd, Rader Us Army Health Clinic, Fort Myer, VA 22211-1009 | 2013-09-24 |
| 1679815625 | Paul S Hahn | Dermatology | 401 Carpenter Rd, Fort Myer, VA 22211-1009 | 2013-03-17 |
| 1477866143 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 401 Carpenter Rd, Building 525 Room 1024, Fort Myer, VA 22211-1009 | 2010-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386113306 | Caroline Vickers | Physician Assistant | Radar Us Army Health Clinic, 401 Carpenter Road, Fort Myer, VA 22211 | 2018-11-20 |
| 1326371212 | Jeffrey Alan Anderson | Physician Assistant | 410 Sheridan Ave - 529th Rsc, Attn: Regimental Aid Station, Fort Myer, VA 22211 | 2009-09-10 |
| 1194706820 | Joel Margolis | Podiatrist | 525 Carpenter Road, Rader Clinic, Ft. Myer, VA 22211 | 2005-11-09 |
| 1124000492 | Peter Contos II | Physical Therapist | 401 Carpenter Road, Building #525, Arlington, VA 22211 | 2005-11-14 |
| 1205817962 | Sharon L Gray | Social Worker | 525 Carpenter Road, Fort Myer, VA 22211 | 2005-11-09 |
| 1225028590 | Marvin E Bloom | Family Medicine | 450 Carpenter Rd, Rader Clinic, Ft Myer, VA 22211-1008 | 2005-10-26 |
| 1033533039 | Jacqueline H Ware | Pharmacist | 401 Carpenter Road, Bldg 525, Andrew Rader Us Army Health Clinic, Ft Myer, VA 22211-1009 | 2014-02-11 |
| 1306149182 | Crystal Lynn Sims | Physical Therapist | 401 Carpenter Rd Ste 1, Fort Myer, VA 22211-1009 | 2010-12-16 |
| 1386620680 | Jeffery Scott Porter | Pediatrics | 401 Carpenter Rd Bldg 525, Room 120, Fort Myer, VA 22211-1009 | 2005-12-19 |
| 1316353782 | Kimbrough Acc Military Mtf | Pharmacy | 401 Carpenter Rd Bldg 525, Fort Myer, VA 22211-1009 | 2014-07-07 |
| Find all providers in zip 22211 | ||||
| Taxonomy Code | 261QM1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military/U.S. Coast Guard Outpatient |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215218342 | Kenner Army Health Clinic | Clinic/Center | 8204 Ave C, Fort Lee, VA 23801-1716 | 2011-09-02 |
| 1801043252 | Kenner Ahc | Clinic/Center | 14115 Montague Rd, Fort A P Hill, VA 22427-3115 | 2008-08-27 |
| 1598958308 | Branch Medical Clinic The Basic School | Clinic/Center | 24008 Mcb #2, Quantico, VA 22134 | 2007-08-24 |
| 1821281908 | Branch Medical Clinic Ocs Brown Field | Clinic/Center | 2189 Elrod Ave, Building 5003, Quantico, VA 22134-5113 | 2007-08-22 |
| 1447457197 | Branch Medical Clinic Dahlgren | Clinic/Center | 192 Cassee Road, Bldg 192, Dahlgren, VA 22448-5000 | 2007-06-27 |
| 1821294729 | Mcdonald Army Health Center | Clinic/Center | Building 82 Ingals, Fort Monroe, VA 23651 | 2007-06-26 |
| 1659577534 | Mcdonald Army Health Center | Clinic/Center | Building 576 Stemberg Avenue, Fort Eustis, VA 23604 | 2007-06-26 |
| 1508062779 | Mcdonald Army Health Center | Clinic/Center | Building 669 Monroe Avenue, Fort Eustis, VA 23604 | 2007-06-25 |
| 1356426894 | United States Coast Guard | Clinic/Center | End of Route 238, Yorktown, VA 23690-5000 | 2006-10-25 |
| 1922199066 | Mcdonald Army Health Center | Clinic/Center | 579 Jefferson Ave, Fort Eustis, VA 23604 | 2006-09-27 |
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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.