JOHN LEVASSEUR (NPI# 1558853689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558853689 |
Entity Type | Individual |
Full Name | JOHN LEVASSEUR |
Credential | DO |
Practice Address |
301 Fisher St Rm 1g123 Keesler Afb MS 39534-2508 |
Practice Telephone | 2283763728 |
Enumeration Date | 2018-06-05 |
Last Update Date | 2018-06-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171000000X | Military Health Care Provider | MS | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205897576 | John Gregory Levasseur | Dermatology | 5282 Medical Dr Ste 518, San Antonio, TX 78229-6046 | 2006-03-28 |
1790933935 | John Peter Levasseur | Counselor | 19291 Northline Rd, Southgate, MI 48195-2220 | 2008-08-29 |
1497719538 | John Hazelton Levasseur | Physician Assistant | 4205 W Atlantic Ave, Delray Beach, FL 33445-3901 | 2006-04-14 |
Street Address |
301 FISHER ST RM 1G123 |
City | KEESLER AFB |
State | MS |
Zip Code | 39534-2508 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568022242 | Mike Sunwoo Kim | Student in an Organized Health Care Education/Training Program | 301 Fisher St Rm 1g123, Keesler Afb, MS 39534-2519 | 2019-06-16 |
1891350971 | Brian Scott Chapman | Student in an Organized Health Care Education/Training Program | 301 Fisher St Rm 1g123, Keesler Afb, MS 39534-2508 | 2019-05-05 |
1386104578 | Graey Wolfley | Student in an Organized Health Care Education/Training Program | 301 Fisher St Rm 1g123, Keesler Afb, MS 39534-2508 | 2019-03-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316568918 | Hanna Chang | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme (keesler Afb), 301 Fisher St, Rm 5a127, Biloxi, MS 39534 | 2020-05-05 |
1720617079 | Briana Polk | Student in an Organized Health Care Education/Training Program | Keesler Air Force Base, 301 Fisher Street, Biloxi, MS 39534 | 2020-04-07 |
1437718756 | Marquise Westbrook | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2019-06-11 |
1124682729 | Joseph Paul Cervone | Student in an Organized Health Care Education/Training Program | 81 Mdss/gme 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2019-04-29 |
1083120851 | Kaitlin May Gruenberg | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2017-12-15 |
1760912513 | Michael Zipper | Military Health Care Provider | 301 Fisher St, Rm 5a127, 81msgs/sgcq, Keesler Afb, MS 39534 | 2017-06-14 |
1184073181 | 81msgs/sgcq | General Acute Care Hospital | 81msgs/sgcq, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-09 |
1174972772 | Usaf 81st Medical Group | Military Hospital | 81msgs/sgcq 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-06 |
1548644677 | Jim Li | Dentist | 81st Medical Group, Keesler Afb, Apo, AA 39534 | 2015-07-18 |
1245610872 | Zachary Austin Masters | Surgery | 301 Fisher Street, Rm 5a127, Keesler Air Force Base, MS 39534 | 2015-06-09 |
Find all providers in zip 39534 |
Taxonomy Code | 171000000X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
Notes: [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760912513 | Michael Zipper | Military Health Care Provider | 301 Fisher St, Rm 5a127, 81msgs/sgcq, Keesler Afb, MS 39534 | 2017-06-14 |
1780113670 | Jaime Patricia Umberger | Military Health Care Provider | 301 Fisher St Rm 5a127, Keesler Afb, MS 39534-2508 | 2017-06-05 |
1215386677 | Pamela Anna Rudnicki | Military Health Care Provider | 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534-2508 | 2016-06-07 |
1730538067 | Elizabeth Brooke Honeycutt | Military Health Care Provider | 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534-2508 | 2016-06-07 |
1932558392 | Evan Dannhardt | Military Health Care Provider | 301 Fisher St Rm 5a127, Keesler Afb, MS 39534-2508 | 2016-06-07 |
1902826662 | Brian Anthony Katen | Military Health Care Provider | 301 Fisher St, Keesler Afb, MS 39534-2508 | 2006-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396250031 | Lilly Pad Home Health, LLC | Military Health Care Provider | 1507 Hardy St Ste 201, Hattiesburg, MS 39401-4978 | 2017-12-04 |
1881945566 | Robert Ray Ellis | Military Health Care Provider | 10194 Cottage Ct, Diberville, MS 39540-4744 | 2012-09-21 |
1457566374 | James Wesley Clements | Military Health Care Provider | 664 S State St, Jackson, MS 39201-5611 | 2007-05-14 |
1215049283 | Angela Victoria Thrahser | Military Health Care Provider | 111 G St, Arnold Annex, Bldg 5901, Biloxi, MS 39534-2410 | 2006-08-31 |
1861453870 | Daniel Bruce Smith | Military Health Care Provider | 22224 Lorene Road, Gulfport, MS 39503 | 2006-03-29 |
1093349094 | Victor Dang Hoang | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-02-27 |
1700438710 | Jacob Travis Burlew | Military Health Care Provider | 500 Fisher St, Biloxi, MS 39534-2502 | 2019-07-10 |
1568936532 | James Barbosa | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2019-01-14 |
1811482730 | Gregory Buford Jr. | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2018-06-22 |
1992225262 | Bradly S. Brown | Military Health Care Provider | 500 Fisher St, Biloxi, MS 39534-2502 | 2017-06-27 |
Find all providers with the same taxonomy |
City | KEESLER AFB |
Zip Code | 39534 |
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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.