51 MED GP (NPI# 1619297991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619297991 |
| Entity Type | Organization |
| Organization Name | 51 MED GP |
| Other Organization Name | TAEGU IDMT PHCY |
| Practice Address |
607 Mms/mssg Unit 2166 Taegu TAEGU APO AP 96213 KP |
| Mailing Address |
607 Mms/mssg Unit 96213 Taegu TAEGU APO AP 96213 KP |
| Practice Telephone | 2102218443 |
| Practice Fax Number | 2102952567 |
| Mailing Telephone | 2102218443 |
| Mailing Fax Number | 2102952567 |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2010-06-09 |
| Authorized Official Name | HECTOR MORALES (DEPUTY DIRECTOR OF PHCY OPS) |
| Authorized Official Telephone | 2102218443 |
| Is Organization Subpart | Y |
| Parent Organization Name | 51 MED GP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| TAEGU IDMT PHCY | Doing Business As Name - Organization |
| Street Address |
607 MMS/MSSG UNIT 2166 |
| City | TAEGU |
| State | TAEGU |
| Zip Code | APO AP 96213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598759342 | Mark Alan Johnson | Psychologist | Raf Lakenheath 48mdos/sgoh, Unit 5210 Box 230, Brandon, SUFFOLK APO A-E 09 | 2005-09-08 |
| 1528298585 | Lakenheath Croughton | Military/U.S. Coast Guard Pharmacy | 422 Abg/sg Medical, Raf Croughton, ENGLAND APO AE | 2009-07-23 |
| 1932242393 | Daniele Doyle | Pharmacist | Landstuhl Regional Medical Center, Landstuhl, CMR 402 APO AE | 2007-02-15 |
| 1417004052 | Heidrun M. Dalton | Counselor | Usag Darmstadt, Unit 29500 Box 31, Darmstadt, HESSEN APO AE 09175 | 2007-01-05 |
| 1750456992 | Kimberly Shay Litton-belcher | Counselor | Cmr 463 Box 92, Katterbach, GERMANY APO AE 09177 | 2006-11-22 |
| 1003978727 | Sarah Crycilla Zeizinger | Registered Nurse | Landstuhl Regional Medical Center, Cmr 402, Landstuhl, RHEINLAND-PFALZ APO AE 09180 | 2006-12-16 |
| 1407813884 | Anita Lobo | Counselor | Cmr 402, Box 1935, Landstuhl, GERMANY APO AE 09180 | 2006-04-28 |
| 1114016102 | Naomi Marie Flowers | Military Health Care Provider | Cmr446 Bx 546, Unit 26610, BAVARIA APO AE 09244 | 2006-10-11 |
| 1487760369 | Petra Goodman | Nurse Practitioner | Usameddac Wuerzburg, Attn: Primary Care Clinic, Cmr 446, Unit 26610, Wuerzburg, BAVARIA APO AE 09244 | 2006-08-22 |
| 1922060458 | Carol Alanna Hardt | Speech-Language Pathologist | Cmr 437 Box 1125, New York, GERMANY APO AE 09267 | 2006-04-03 |
| Find all providers in zip APO A | ||||
| Taxonomy Code | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition] |
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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.