FAMILY MEDICINE CLINIC (NPI# 1588753453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588753453 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICINE CLINIC |
| Practice Address |
1 Jarrett White Rd Tripler Army Medical Center Attn: Mchk-qs Tamc HI 96859-5001 |
| Practice Telephone | 8084332460 |
| Practice Fax Number | 8084331558 |
| Mailing Telephone | 8084332460 |
| Mailing Fax Number | 8084331558 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-08-12 |
| Authorized Official Name | DR. ANASTASIA M PIOTROWSKI (RESIDENT) |
| Authorized Official Telephone | 8084333300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | MD-13982 | HI | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124026489 | Family Medicine Clinic | Family Medicine | 600 9th Ave N, Sibley, IA 51249-1012 | 2005-07-11 |
| 1992023642 | Family Medicine Clinic | Physician Assistant | 600 9th Ave N, Sibley, IA 51249-1012 | 2010-05-05 |
| 1114109923 | Family Medicine Clinic | Family Medicine | 2309 East Main Street, Suite 400, New Iberia, LA 70560 | 2007-12-04 |
| 1750563276 | Family Medicine Clinic | Health Maintenance Organization | 17203 Red Oak Dr, Suite 201, Houston, TX 77090-2640 | 2007-11-27 |
| 1760675698 | Family Medicine Clinic | General Practice | 100 W 4th St, Walsenburg, CO 81089-1910 | 2007-08-23 |
| 1164645479 | Family Medicine Clinic | Family Medicine | 404 Gilmore Dr, Amory, MS 38821-5414 | 2007-04-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Family Medicine Clinic | 100 West 4th Street, Walsenburg, CO 81089 |
| Colorado Business Entities | Family Medicine Clinic for Health Equity | 5250 Leetdale Dr, Suite 110, Denver, CO 80246 |
| Colorado Business Entities | Family Medicine Clinic LLC | 100 W 4th St, Walsenburg, CO 81089 |
| Washington State Corporations | FAMILY MEDICINE CLINIC OF FEDERAL WAY, LLC | 34618 11th Pl S, 100, Federal Way, WA 98003-6792 |
| Oklahoma Business Registrations | FAMILY MEDICINE CLINICS INC. | 158 B Sunset Dr., Medford, OK 73759 |
| Street Address |
1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS |
| City | TAMC |
| State | HI |
| Zip Code | 96859-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548268188 | Millard Dalton Brown IIi | Psychiatry & Neurology | 1 Jarrett White Rd, Tamc, HI 96859-5001 | 2005-07-08 |
| 1801092689 | Susanna Naomi Holt | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-27 |
| 1104023712 | Phuoc T Nguyen | General Practice | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-27 |
| 1205032075 | David James Peterson | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-26 |
| 1366648685 | Charles Tri Nguyen | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-24 |
| 1194920546 | Valerie Lopes Pires Edmonds | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-17 |
| 1568667970 | Jordanna M Hostler | Internal Medicine | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-15 |
| 1336343987 | Eric Michael Swanson | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-14 |
| 1083818595 | Michael Emil Stoudmire | General Practice | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-11 |
| 1700080231 | Christina B Rumayor | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859-5001 | 2007-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115792 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tripler Medical Center, C-103, Honolulu, HI 96859 | 2020-02-07 |
| 1467726927 | Elton E Bacon | Orthotist | 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 | 2012-03-01 |
| 1063738813 | Defense Finance & Actg Service | Military Hospital | 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 | 2010-04-19 |
| 1972737153 | Kyong Su Min | Orthopaedic Surgery | 1 Jarrett White Rd Bldg 4f, Tripler Army Medical Center, HI 96859 | 2009-05-04 |
| 1558503854 | Mark Andrew Gerum | Social Worker | Tripler Army Medical Center, 1 Jarrett White Road, Intensive Outpatient Program (iop), Honolulu, HI 96859 | 2009-04-01 |
| 1578720926 | Travis Jaya Mason | Surgery | Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 | 2008-05-21 |
| 1467513168 | Joselyn Cabalo Funtanilla Ponce | Registered Nurse | 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 | 2006-12-13 |
| 1346280195 | Harkirtin Kaur Mciver | Pediatrics | Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 | 2006-06-08 |
| 1043297740 | Jacqueline Seger | Registered Nurse | Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 | 2005-12-23 |
| 1982694683 | Peter Marlin | Psychiatry & Neurology | Tamc, 1 Jarriet White Road, Honolulu, HI 96859 | 2005-10-24 |
| Find all providers in zip 96859 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902883267 | Family Advocacy Program, Schofield Barracks | Military Hospital | 1 Jarrett White Rd, Department of Social Work, Tamc, HI 96859-5001 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689177826 | Alexander P Dunnum | Military Hospital | 1/12 Battalion Aid Station, 6894r Selby St, Kaneohe, HI 96744 | 2018-03-14 |
| 1063738813 | Defense Finance & Actg Service | Military Hospital | 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 | 2010-04-19 |
| 1487923934 | Department of Depense | Military Hospital | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2011-12-28 |
| 1568602845 | Tracy F Sarmiento | Military Hospital | 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Army Medical Center, HI 96859-5001 | 2009-02-26 |
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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.