MR. STEPHEN SPENCER AUSTAD (NPI# 1679869119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679869119 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN SPENCER AUSTAD |
| Credential | DO |
| Practice Address |
Group Aid Station, Mcas Yuma Yuma AZ 85369 |
| Mailing Address |
2338 W 5700 S Roy UT 84067-1519 |
| Practice Telephone | 9282695479 |
| Mailing Telephone | 8016446019 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2013-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 942 | NE | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
GROUP AID STATION, MCAS YUMA |
| City | YUMA |
| State | AZ |
| Zip Code | 85369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770024986 | Aaron Craig Andrew Hassad | Military Health Care Provider | 2989 East Arow Street, Yuma, AZ 85369 | 2017-03-20 |
| 1942697685 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Marine Corps Air Station, Bldg 1175, Yuma, AZ 85369 | 2015-04-21 |
| 1427222736 | Christopher Michael Davis | Family Medicine | 2917 East Hart Street, Marine Corps Air Station, Yuma, AZ 85369 | 2008-04-17 |
| 1508069527 | Naval Hospital Camp Pendleton | Clinic/Center | Bldg 1175, Yuma, AZ 85369 | 2007-06-07 |
| 1942365549 | Michael B Prudhomme | General Practice | Group Aid Station Mcas Yuma, Yuma, AZ 85369 | 2006-12-26 |
| 1427148758 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Bhc Marine Corp Air Station, Bldg 1175, Yuma, AZ 85369 | 2006-10-16 |
| 1073515417 | Scott Charles Haney | Dentist | 1175 Hart St., Mcas Yuma Branch Dental Clinic, Yuma, AZ 85369 | 2005-08-15 |
| 1942202924 | Todd Lauby | Optometrist | Branch Medical Clinic Mcas Yuma, Bldg 1175, Yuma, AZ 85369 | 2005-08-10 |
| 1518323260 | Keith Roxo | Preventive Medicine | 406 Halstead Ave, Yuma, AZ 85369 | 2016-01-11 |
| 1699162339 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Bhc Marine Corp Air Station, Bldg 1175, Yuma, AZ 85369 | 2015-04-21 |
| Find all providers in zip 85369 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700327541 | Greg Almon Rogers | General Practice | Mag 13, Yuma, AZ 85369-9180 | 2017-03-13 |
| 1578901385 | Robert Field | General Practice | Mawts-1 Medical, Mcas, Box 99117, Yuma, AZ 85365 | 2013-06-13 |
| 1922248129 | Donald Richard Schilke | General Practice | 4101 W 15th St, Yuma, AZ 85364-4066 | 2009-02-27 |
| 1942365549 | Michael B Prudhomme | General Practice | Group Aid Station Mcas Yuma, Yuma, AZ 85369 | 2006-12-26 |
| 1740297175 | Stephen Replogle | General Practice | 11871 S Fortuna Rd, Yuma, AZ 85367-7686 | 2006-08-01 |
| 1144476821 | Darrell Leroy Scheetz | General Practice | 1025 W 24th St, Suite 18, Yuma, AZ 85364-8366 | 2008-08-13 |
| 1063433720 | Sunset Community Health Center Inc | General Practice | 2060 W 24th St, Yuma, AZ 85364-6123 | 2006-07-21 |
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| 1366080475 | Madison Taylor Phillips | General Practice | 15741 Bering St, Ehrenberg, AZ 85334-0010 | 2019-12-19 |
| Find all providers with the same taxonomy | ||||
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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.