USCG (NPI# 1598778623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598778623 |
| Entity Type | Organization |
| Organization Name | USCG |
| Practice Address |
2401 Hawkins Point Rd Baltimore MD 21226-1797 |
| Practice Telephone | 4106367506 |
| Mailing Telephone | 4106367506 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. AARON E. FULTCHER (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 4106367506 |
| Authorized Official Credential | CWO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1101X |
Clinic/Center Specialization: Military and U.S. Coast Guard Ambulatory Procedure |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205957982 | Uscg | Clinic/Center | 5439 A Lemay Ave., Buzzards Bay, MA 02542 | 2007-04-02 |
| 1710028048 | Uscg | Clinic/Center | 10569 Lake Breeze Dr, Seminole, FL 33772-4333 | 2007-02-09 |
| 1396846739 | Uscg | Preferred Provider Organization | Uscg Atc Mobile, 8501 Tanner Williams Road, Mobile, AL 36608 | 2006-09-26 |
| 1801087580 | Uscg | Community Based Residential Treatment Facility, Mental Illness | 427 Commercial St, Boston, MA 02109-1027 | 2007-08-07 |
| 1316001076 | Uscg | Technician, Other | 1 Munro Ave, Medical, Cape May, NJ 08204-5000 | 2006-12-20 |
| 1326100827 | Uscg | Clinic/Center | 1 Eagle Rd, Alameda, CA 94501-5100 | 2006-12-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | USCG ENTERPRISES CORP. | 8 Manor Road, Smithtown, Ny 11787 |
| System for Award Management (SAM) Entities | USCG FINANCE CENTER CUSTOMER SERVICE | 1430a Kristina Way, Chesapeake, VA 23326-1000 |
| New York State Corporations | USCG GREEN LLC | 180 Phillips Hill Rd., Ste 3a, New City, Ny 10956 |
| System for Award Management (SAM) Entities | USCG MWR AIR STATION CAPE COD | 5205 Ent St Bldg 5205, Buzzards Bay, MA 02542-1212 |
| System for Award Management (SAM) Entities | USCG TRACEN PETALUMA MWR CABLE | 599 Tomales Rd, Petaluma, CA 94952-5002 |
| Washington State Corporations | USCG, INC. | 1550 Railroad Ave, Bellingham, WA 98225 |
| Washington State Corporations | USCG-11 / TIBURON / USCG 83366 FOUNDATION | 36824 Se 191st St, Maple Valley, WA 98038 |
| Street Address |
2401 HAWKINS POINT RD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21226-1797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487043964 | Gina O'hara | Physician Assistant | 2401 Hawkins Point Rd, Baltimore, MD 21226-1797 | 2015-01-21 |
| 1427398155 | Joseph B Miller | Physician Assistant | 2401 Hawkins Point Rd, Baltimore, MD 21226-1797 | 2013-02-16 |
| 1679885685 | Andrew William Craig | Technician, Other | 2401 Hawkins Point Rd, Baltimore, MD 21226-1797 | 2010-07-07 |
| 1053632083 | Brandon Scott Weaver | Physician Assistant | 2401 Hawkins Point Rd, Building 28a, Baltimore, MD 21226-1797 | 2010-06-14 |
| 1457683690 | Ryan R Green | Technician, Other | 2401 Hawkins Point Rd, Baltimore, MD 21226-1797 | 2010-02-12 |
| 1811228422 | Us Coast Guard | Clinic/Center | 2401 Hawkins Point Rd, Baltimore, MD 21226-1797 | 2010-01-21 |
| 1851622401 | Us Coast Guard Yard - Hswl Clinic | Clinic/Center | 2401 Hawkins Point Rd, Bldg 28b, Baltimore, MD 21226 | 2010-01-21 |
| 1194892745 | Mary Jo Guidera Bowser | Technician, Health Information | 2401 Hawkins Point Rd, Baltimore, MD 21226-1797 | 2006-11-29 |
| 1669555686 | Shawntae Akila Guerrier | Spec/Tech, Health Info | 2401 Hawkins Point Rd, Baltimore, MD 21226-1797 | 2006-10-23 |
| 1083711832 | Us Coast Guard Finance Center | Military/U.S. Coast Guard Pharmacy | 2401 Hawkins Point Rd, Baltimore, MD 21226-1797 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285634238 | Stephen Michael Reinitz | Anesthesiology | 3001 South Hanover Street, Baltimore, MD 21226 | 2005-07-29 |
| 1033324777 | Ca Rushing & Associates | Community/Behavioral Health | 4710 Pennington Ave, 2 Fl Suite 3, Baltimore, MD 21226 | 2007-05-14 |
| 1538375001 | Takeey Lakeysha Wiggins | Spec/Tech, Pathology | 2401 Hawkins Point Road, Bldg 28b, Baltimore, MD 21226 | 2007-05-14 |
| 1275756009 | Bridget G Day | Technician, Other | 2401 Hawkins Point Road, Attn Health Services Division, Baltinore, MD 21226 | 2007-04-10 |
| 1972143212 | Danielle Emerson | Social Worker | 4710 Pennington Ave Fl 2, Curtis Bay, MD 21226-1405 | 2020-01-15 |
| 1669002317 | Sandra Lee Rosenbach | Social Worker | 4710 Pennington Ave Fl 2, Baltimore, MD 21226-1405 | 2020-01-22 |
| 1669930996 | Victorine Akwen Ngang | Nurse Practitioner | 4710 Pennington Ave, Curtis Bay, MD 21226-1405 | 2019-03-05 |
| 1982169975 | Alexandra Bradford | Social Worker | 4710 Pennington Ave, Baltimore, MD 21226-1405 | 2019-02-05 |
| 1861963498 | New Vision Behavioral Health Services Inc | Community/Behavioral Health | 4710 Pennington Ave, 2nd Fl, Suite 3, Curtis Bay, MD 21226-1405 | 2018-12-07 |
| 1487911889 | New Vision Behavioral Health Services Inc | Community/Behavioral Health | 4710 Pennington Ave, 2nd Floor, Suite 3, Baltimore, MD 21226-1405 | 2012-04-23 |
| Find all providers in zip 21226 | ||||
| Taxonomy Code | 261QM1101X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military and U.S. Coast Guard Ambulatory Procedure |
| That part of a "fixed" (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial "take home" pharmaceuticals. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
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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.