KEENAN DAVID ATWOOD (NPI# 1588083356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588083356 |
| Entity Type | Individual |
| Full Name | KEENAN DAVID ATWOOD |
| Practice Address |
145 Hart St Aerospace Medicine Clinic Sheppard Afb TX 76311 |
| Mailing Address |
11741 W Flagg Ave Milwaukee WI 53225-2231 |
| Practice Telephone | 9406766509 |
| Mailing Telephone | 4356501780 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2018-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | R3469 | TX | Allopathic & Osteopathic Physicians |
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
28887 | NE | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
145 HART ST AEROSPACE MEDICINE CLINIC |
| City | SHEPPARD AFB |
| State | TX |
| Zip Code | 76311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740792076 | Hunter Tristan Justice Ferguson | Military Health Care Provider | 527 I Ave Unit 72, Sheppard Afb, TX 76311 | 2017-10-26 |
| 1649525338 | Austin Douglas Solomons | Social Worker | 82 Medical Group, 149 Hart Street, Sheppard Afb, TX 76311 | 2012-07-18 |
| 1700162831 | Kristina Marie Zuccarelli | Student in an Organized Health Care Education/Training Program | 132 Hart Street, Sheppard Afb, TX 76311 | 2011-11-03 |
| 1679859367 | Brandon William Keyser | Dentist | 82 Dental Squadron/sgd, 149 Hart St Ste 4, Sheppard Afb, TX 76311 | 2011-10-26 |
| 1437456373 | Jennifer Leigh Noblin | Military Health Care Provider | Sheppard Afb Mental Health Clinic, 149 Hart St. Bldg 1200, Wichita Falls, TX 76311 | 2011-02-11 |
| 1336450444 | Allen Chan | Dentist | 82nd Medical Group (aetc) Pas: Sq0jfb5d, Sheppard Afb, Apo, AA 76311 | 2010-06-24 |
| 1003140344 | Christopher Shawn Couch | Military Health Care Provider | 718 I Ave 82 Mss/dpf, Bldg 1900 Dept Xufb, Sheppard Afb, TX 76311 | 2009-09-18 |
| 1124255583 | Danny Lee Dennis Jr. | Military Health Care Provider | 939 Missile Road Bld 1900, Wichita Falls, TX 76311 | 2009-06-12 |
| 1902008980 | Jason West Cromar | Military Hospital | 149 G W Hart St., Bldg. 1200, 82 Mdg/sgp, Sheppard Afb, TX 76311 | 2007-06-01 |
| 1447359690 | 82nd Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | Bldg 100, Sheppard Afb, TX 76311 | 2006-09-22 |
| Find all providers in zip 76311 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295267573 | Quinn Dufurrena | Preventive Medicine | 301 University Blvd # 1110, Galveston, TX 77555-1110 | 2017-03-28 |
| 1760841423 | Anant Shukla | Preventive Medicine | Mendoza Aviation Clinic (11335 Ssg Sims Blvd), El Paso, TX 79935 | 2016-02-23 |
| 1689069296 | Darryl George Demaris | Preventive Medicine | Texas A&m Hsc Com S&w Hospital, 2401 S. 31st Street - Ms-01-w256, Temple, TX 76508-0001 | 2015-03-31 |
| 1639505951 | Mark Richard Hannay | Preventive Medicine | 614 Mccain St Ste 310, Kingsville, TX 78363 | 2013-09-18 |
| 1407198823 | David Chase Rogers | Preventive Medicine | 1100 Wilfod Hall Loop, Bldg. 4556, Lackland Afb, TX 78236-9908 | 2013-03-24 |
| 1326387291 | Skin Institute | Preventive Medicine | 1901 Babcock Rd Ste 200, San Antonio, TX 78229-4545 | 2013-02-12 |
| 1710221742 | Conrad Ivan Dalton | Preventive Medicine | 98 S. Shawnee Ridge Circle, The Woodlands, TX 77382-2555 | 2012-11-15 |
| 1164766358 | Guillermo J. Salazar | Preventive Medicine | 2601 Meacham Blvd, Faa, Asw-300, Fort Worth, TX 76137-4204 | 2012-11-12 |
| 1609149681 | Lucky Lusterio | Preventive Medicine | 221 3rd St. W, Randolph Afb, TX 78150 | 2012-02-21 |
| 1205139367 | Kenneth Edward Cottle | Preventive Medicine | 148 S Bay Dr, Bullard, TX 75757-8929 | 2010-12-13 |
| Find all providers with the same taxonomy | ||||
| City | SHEPPARD AFB |
| Zip Code | 76311 |
Please comment or provide details below to improve the information on KEENAN DAVID ATWOOD.
| 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.