BRANCH MEDICAL CLINIC FUTENMA (NPI# 1548468218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548468218 |
| Entity Type | Organization |
| Organization Name | BRANCH MEDICAL CLINIC FUTENMA |
| Practice Address |
Psc 482 Uniform Business Office Fpo AP 96362 |
| Practice Telephone | 011816117432014 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2018-04-10 |
| Authorized Official Name | MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL HOSPITAL OKINAWA |
| 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 |
| Street Address |
PSC 482 UNIFORM BUSINESS OFFICE |
| City | FPO |
| State | AP |
| Zip Code | 96362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588648794 | Edward Adison Reedy | Pathology | Psc 482, Box 79, Fpo, AP 96362-9998 | 2005-12-01 |
| 1164051751 | Christopher J Murray | Counselor | Psc 482, Fpo, AP 96362 | 2020-04-06 |
| 1275167132 | Christine Marie Bruce | Counselor | Psc 482, Fpo, AP 96362 | 2020-02-28 |
| 1528615341 | Anthony H Duong | Pharmacist | Psc 482, Fpo, AP 96362-1600 | 2019-08-26 |
| 1740765502 | Alexis M Robinson | Pharmacist | Psc 482, Fpo, AP 96362-1600 | 2018-09-27 |
| 1336631894 | Cassy Ann Piela | Nurse Anesthetist, Certified Registered | Psc 482, Fpo, AP 96362-1600 | 2018-05-31 |
| 1255885158 | Justin Beryl Hefley | Nurse Anesthetist, Certified Registered | Psc 482, U.S. Naval Hospital Okinawa, Fpo, AP 96362-9998 | 2016-08-09 |
| 1881046381 | Carrie Easton Urban | Nurse Practitioner | Psc 482, Fpo, AP 96362-9998 | 2016-07-07 |
| 1144688243 | Nicole Swanson | Physical Therapist | Psc 482, Fpo, AP 96362-1600 | 2016-02-03 |
| 1316319825 | Annette Hemphill | Advanced Practice Midwife | Psc 482, Fpo, AP 96362-9998 | 2015-10-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659838720 | Joshua Cobb | Occupational Therapist | Psc482, Fpo, AP 96362 | 2019-02-26 |
| 1154718203 | Tanesia Maul | Pharmacist | Psc 482 Box 52, Okinawa, OKINAWA 96362 | 2015-04-15 |
| 1144651118 | Robert Boyer | Pharmacist | Psc 482 Box 199, Fpo, AP 96362 | 2013-12-02 |
| 1972742773 | 8carla T Yballe | Military Health Care Provider | Bldg. 9497 Kab Psc 4821, Fpo, AP 96362 | 2009-02-18 |
| 1538325055 | Charles Christopher Stehman | Anesthesiology | Tarawa Rd, Camp Foster Building 960, Fpo, AP 96362 | 2008-08-04 |
| 1578740163 | Kelly Jo Cavanaugh | Speech-Language Pathologist | Psc 482 Box 3000, Fpo, AP 96362 | 2008-01-25 |
| 1215125109 | Courtney Lynn Stuursma | Physical Therapist | Usnh Okinawa, Department of Pt/ot, Psc 482, Fpo, AP 96362 | 2007-10-05 |
| 1982890299 | Mark Joseph Kane | Military Health Care Provider | Psc 482 Box 2948, Fpo Ap, Fpo, AP 96362 | 2007-09-20 |
| 1376739722 | Gary B. Hoyt | Military Health Care Provider | Psc 482 Box 2577, Fpo, AP 96362 | 2007-09-19 |
| 1801087721 | Richard Houston Blair | Audiologist | Psc 482 Box 206, Fpo, AP 96362 | 2007-08-06 |
| Find all providers in zip 96362 | ||||
| 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 |
|---|---|---|---|---|
| 1811182959 | Branch Medical Clinic Bahrain | Clinic/Center | Psc 851, Box 340, Fpo, AE 09834-0004 | 2007-09-12 |
| 1841483559 | Branch Medical Clinic Chinhae | Clinic/Center | Psc 479, Fpo, AP 96269 | 2007-08-26 |
| 1023201886 | Branch Medical Clinic Sasebo | Clinic/Center | Psc 475 Box 1 Code 081c, Fpo, AP 96351 | 2007-08-23 |
| 1447429667 | Branch Medical Clinic Camp Fuji | Clinic/Center | Psc 475 Box 1 Code 081c, Fpo, AP 96351 | 2008-02-21 |
| 1194911511 | Branch Medical Clinic Capodichino | Clinic/Center | Psc 808 Box 19, Fpo, AE 09618-0001 | 2007-09-19 |
| 1902091044 | Branch Health Clinic Souda Bay | Clinic/Center | Psc 814, Box 19, Fpo, AE 09865 | 2007-09-12 |
| 1578756284 | Branch Medical Clinic Diego Garcia | Clinic/Center | Psc 466 Box 3, Fpo, AP 96595 | 2007-08-26 |
| 1376734624 | Branch Medical Clinic Sasebo Comfleact | Clinic/Center | Psc 476 Box 25, Fpo, AP 96322 | 2007-08-01 |
| 1639360985 | Branch Medical Clinic Atsugi | Clinic/Center | Psc 477 Box 2, Fpo, AP 96303 | 2007-08-01 |
| 1528268844 | Branch Medical Clinic Camp Bush | Clinic/Center | Psc 482, Uniform Business Office, Fpo, AP 96362 | 2007-07-24 |
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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.