JEREMIAH GOSSETT (NPI# 1558841833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558841833 |
| Entity Type | Individual |
| Full Name | JEREMIAH GOSSETT |
| Practice Address |
4102 Pinion Drive 10th Medical Group Usaf Academy CO 80840 |
| Mailing Address |
4102 Pinion Drive Usaf Academy CO 80840 |
| Practice Telephone | 7193335192 |
| Mailing Telephone | 7193335192 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2019-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DDS103017 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | TRICARE | 7482960 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 151 Bodin Cir, Travis Afb, CA 945351801 | 7074237008 |
| Street Address |
4102 PINION DRIVE 10TH MEDICAL GROUP |
| City | USAF ACADEMY |
| State | CO |
| Zip Code | 80840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992799092 | Patrice Flynn | Physical Therapist | 4102 Pinion Drive, 10th Medical Group, Usaf Academy, CO 80840 | 2005-09-02 |
| 1548877335 | Atinuke Oluwatimilehin | Pharmacist | 4102 Pinion Drive, Attn: 10th Medical Group/sghc, Usaf Academy, CO 80840-2502 | 2020-09-25 |
| 1134460405 | Andrew Phillip Benfield | Dentist | 4102 Pinion Drive, 10th Medical Group, Usaf Academy, CO 80840-2502 | 2013-03-11 |
| 1174840482 | Brian James Lewis | Radiology | 4102 Pinion Drive, 10th Medical Group, Usaf Academy, CO 80840-2502 | 2010-04-26 |
| 1891019972 | Alan Puddy | Orthopaedic Surgery | 4102 Pinion Drive, 10th Medical Group, Usaf Academy, CO 80840 | 2010-03-18 |
| 1750546289 | Douglas John Bird | Physician Assistant | 4102 Pinion Drive, 10th Medical Group, Usaf Academy, CO 80840-2502 | 2008-07-24 |
| 1235351842 | Corey Munro | Pharmacist | 4102 Pinion Drive, Ste 100, Usaf Academy, CO 80840 | 2007-05-03 |
| 1144354374 | Thomas John Puskas | Family Medicine | 4102 Pinion Drive, Usaf Academy, CO 80840 | 2007-03-16 |
| 1316019383 | Daniel J Watson | Physical Therapist | 4102 Pinion Drive, 10th Medical Group, Usaf Academy, CO 80840 | 2006-11-15 |
| 1598720104 | Brian D Lanier | Social Worker | 4102 Pinion Drive, Suite 100, Usaf Academy, CO 80840 | 2006-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554011 | Christina Dang | Student in an Organized Health Care Education/Training Program | 4355-b Faculty Drive, Us Air Force Academy, CO 80840 | 2020-03-23 |
| 1053893123 | Glen William Myers | Dentist | 2355-b Faculty Dr, Usaf Academy, Colorado, Usafa, AA 80840 | 2018-09-05 |
| 1225374499 | National Vision Optical | Technician/Technologist | Bldg 5136, Community Center Dr., Us Air Force Academy, CO 80840 | 2012-12-17 |
| 1366758906 | Brett Michael Germain | Dentist | 2355-b Faculty Dr., Usaf Academy, CO 80840 | 2010-08-20 |
| 1518289115 | Renee Jean Cole | Military Health Care Provider | 4515 East Juniper Dr Unit A, Usaf Academy, CO 80840 | 2010-02-23 |
| 1063655140 | Gregory S. Brooks | Military Health Care Provider | 2355 Faculty Dr Suite 1n207, 10th Amds, Usafa, CO 80840 | 2009-04-20 |
| 1801092390 | Bryant Mcneill | Internal Medicine | 4102 Pinion 10mdg, Usaf Academy, CO 80840 | 2007-06-22 |
| 1447384383 | Francis Crosby Jr. | Physician Assistant | 4102 Pinon Drive, Usaf Academy, CO 80840 | 2007-03-15 |
| 1023115870 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 5136 Eagle Dr, Ste 102, Usaf Academy, CO 80840 | 2006-09-20 |
| 1669582722 | Scott Layle Carbaugh | Physician Assistant | 4102 Pinion Dirve, Usaf Academy, CO 80840 | 2006-08-30 |
| Find all providers in zip 80840 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366758906 | Brett Michael Germain | Dentist | 2355-b Faculty Dr., Usaf Academy, CO 80840 | 2010-08-20 |
| 1922314566 | Natalie Faith Germain | Dentist | 2355 Faculty Dr # B, Usaf Academy, CO 80840-1805 | 2010-08-20 |
| 1508816109 | Kathryn Louise Aasen | Dentist | 2355 B Faculty Drive, 10th Ds, Usaf Academy, CO 80840-8200 | 2006-05-12 |
| 1053360545 | Malcolm Bert Munk | Dentist | 4102 Pinion Dr, Suite 100, 10th Mdg, Usaf Academy, CO 80840-4000 | 2006-05-10 |
| 1700383726 | Ross James Thompson | Dentist | 10th Medical Group, 4102 Pinion Drive, Usaf Academy, CO 80840 | 2018-04-06 |
| 1396156402 | Charles Arthur | Dentist | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2014-05-12 |
| 1093937559 | Kyle Pelkey | Dentist | 4102 Pinion Dr, Usaf Academy, CO 80840 | 2007-05-03 |
| 1639399900 | Tyetus Hohnstein | Dentist | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2007-04-27 |
| 1134213747 | Michael Porter Cunningham | Dentist | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2006-10-03 |
| 1619980760 | Jennie-leigh L Stoddart | Dentist | 4102 Pinion Dr, Usaf Academy, CO 80840-2502 | 2006-08-13 |
| Find all providers in USAF ACADEMY | ||||
| City | USAF ACADEMY |
| Zip Code | 80840 |
Please comment or provide details below to improve the information on JEREMIAH GOSSETT.
| 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.