SURFACE WARFARE MEDICAL INSTITUTE (NPI# 1588066757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588066757 |
| Entity Type | Organization |
| Organization Name | SURFACE WARFARE MEDICAL INSTITUTE |
| Practice Address |
14 Rudder Ct Sw Bolling Afb Bolling Afb DC 20032-7427 |
| Practice Telephone | 7169519449 |
| Mailing Telephone | 7169519449 |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |
| Authorized Official Name | MRS. JESSICA LEE NASH (INDEPENDANT DUTY CORPSMAN) |
| Authorized Official Telephone | 7169519449 |
| Authorized Official Credential | IDC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | Hospitals |
| Street Address |
14 RUDDER CT SW BOLLING AFB |
| City | BOLLING AFB |
| State | DC |
| Zip Code | 20032-7427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753714 | Ebonie Hawkins | Counselor | 101 Xenia St Suite 200 Sw, Washington, DC 20032 | 2020-09-03 |
| 1639788938 | Richard Quinones | Technician | 4346 Livingston Rd Se, B, Washington, DC 20032 | 2020-07-23 |
| 1720603244 | Ankur Sah Swarnakar | Student in an Organized Health Care Education/Training Program | 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 | 2020-06-10 |
| 1225659519 | Michael Thomas Moore | Counselor | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
| 1144878240 | Erika Kirkpatrick | Behavior Technician | 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 | 2019-08-31 |
| 1982251351 | Agazit Asihel | Counselor | Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 | 2019-08-21 |
| 1538715412 | Omonike Grace Adeosun | Home Health Aide | 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 | 2019-08-15 |
| 1932753571 | Nadesh Mengwi Muluh | Home Health Aide | 2759 Martin Luther King Jr Avenue, Washington, DC 20032 | 2019-08-01 |
| 1376100115 | Kelsey Hobart | Student in an Organized Health Care Education/Training Program | Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 | 2019-05-28 |
| 1407321417 | Abigail Christine Burke | Physical Therapist | 3146 Arnold Avenue Sw, Washington, DC 20032 | 2018-10-05 |
| Find all providers in zip 20032 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407194889 | Walter Reed National Military Medical Center | Military Hospital | 2000 N St Nw, Apt 503, Washington, DC 20036-2336 | 2013-01-20 |
| 1659552024 | Edward Joseph Sheridan | Military Hospital | 3904 18th St Nw, Washington, DC 20011-5323 | 2007-11-14 |
| 1770645954 | Walter Reed Army Medical Center | Military Hospital | 6 Wramc Dept, 6900 Georgia Ave. Nw, Washington, DC 20307-0001 | 2006-12-14 |
| 1043372683 | Walter Reed Army Medical Center | Military Hospital | Wramc Medicine, 6900 Georgia Ave, Washington, DC 20307-0001 | 2006-12-13 |
| 1881756435 | Walter Reed Army Medical Center | Military Hospital | Wramc, Bldg 2, Dept of Pediatrics, 6900 Georgia Ave, Nw, Washington, DC 20307-0001 | 2006-12-13 |
| 1780043778 | Veteran Affairs Medical Center | Military Hospital | 50 Irving St Nw, Washington, DC 20422-0001 | 2016-02-18 |
| 1538458476 | Walter Reed Army Medical Center | Military Hospital | 6900 Georgia Ave Nw, Washington, DC 20307-0003 | 2011-03-31 |
| 1730499005 | Taesoon Lee | Military Hospital | 6900 Georgia Ave., Washington D.c, DC 20307 | 2010-10-20 |
| 1033440631 | Enock Elie Faustin | Military Hospital | 6900 Georgia Ave Nw, Washington, DC 20307-0003 | 2010-01-20 |
| 1306005178 | Armed Forces Institute of Pathology | Military Hospital | 6825 16th St Nw, Washington, DC 20306-0003 | 2008-06-05 |
| Find all providers with the same taxonomy | ||||
| City | BOLLING AFB |
| Zip Code | 20032 |
Please comment or provide details below to improve the information on SURFACE WARFARE MEDICAL INSTITUTE.
| 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.