MR. MARK A DAMMEN (NPI# 1689720385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689720385 |
| Entity Type | Individual |
| Full Name | MR. MARK A DAMMEN |
| Credential | FNP |
| Practice Address |
655 South 7th Street Bldg 700/700-a 78 Mdg/sgopf Robins Afb GA 31098 |
| Mailing Address |
1300 Lakeridge Rd Apt 202 Hampton VA 23666-6069 |
| Practice Telephone | 4784978040 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2018-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
794822 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R25438 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
655 SOUTH 7TH STREET BLDG 700/700-A 78 MDG/SGOPF |
| City | ROBINS AFB |
| State | GA |
| Zip Code | 31098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427045012 | Kevin Stanger | Dentist | 655 South 7th Street Bldg 700/700-a, 78 Mdg/sghc, Robins Afb, GA 31098 | 2005-09-29 |
| 1336629732 | Elaine Elizabeth Clines | Dentist | 655 South 7th Street Bldg 700/700-a, 78 Mdg/sgxd, Robins Afb, GA 31098 | 2018-08-16 |
| 1942742598 | Luke Jonathan Davidiuk | Psychologist | 655 South 7th Street Bldg 700/700-a, 78 Mdg/sgxw, Robins Afb, GA 31098 | 2016-11-14 |
| 1922480128 | Ashley Nicole Drown | Dentist | 655 South 7th Street Bldg 700/700-a, 78 Mdg/sghc, Robins Afb, GA 31098 | 2015-06-24 |
| 1255768578 | Omar Clor | Dentist | 655 South 7th Street Bldg 700/700-a, 78 Mdg/sghc, Robins Afb, GA 31098 | 2013-10-01 |
| 1629418124 | Brandon O'neill Wielert | Physical Therapist | 655 South 7th Street Bldg 700/700-a, 78 Mdg/sgo, Robins Afb, GA 31098 | 2013-06-28 |
| 1184772840 | Scott Alan Lawrence | Nurse Practitioner | 655 South 7th Street Bldg 700/700-a, 78 Mdg/sgow, Robins Afb, GA 31098 | 2007-01-08 |
| 1326118555 | David Merrill Oldham | Family Medicine | 655 South 7th Street Bldg 700/700-a, 78 Mdg/sgp, Robins Afb, GA 31098 | 2006-11-08 |
| 1770538126 | Bobbie Renee Hubbard | Social Worker | 655 South 7th Street Bldg 700/700-a, 78 Mdg/sghc, Robins Afb, GA 31098 | 2006-05-24 |
| 1568412997 | Christopher Bird | Family Medicine | 655 South 7th Street Bldg 700/700-a, 78 Mdg/sghc, Robins Afb, GA 31098 | 2006-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043679426 | Lori Demello | Behavioral Analyst | 477 Holly Drive, Warner Robins, GA 31098 | 2016-02-15 |
| 1760885057 | John A Kauderman Jr. | Optometrist | 655 South 7th St Bldg 700/700a, Robins Afb, GA 31098 | 2014-10-01 |
| 1255757183 | Damon Jamel Murphy | Psychologist | 655 South 7th St Bldg 700, 78 Mdg/sgpo, Robins Afb, GA 31098 | 2014-03-17 |
| 1548697485 | John Dye Jr. | Military Health Care Provider | 655 Seventh St., Robins Afb, GA 31098 | 2013-10-10 |
| 1881028009 | Michael Adam Lang | General Practice | Building 700a, Robins Afb, GA 31098 | 2013-08-23 |
| 1902243876 | Victor D Parker IIi | Military Health Care Provider | 78th Medical Group Sghc, 655 Seventh Street, Robins Afb, GA 31098 | 2013-05-31 |
| 1851646830 | David Alan Lunsford Jr. | Physical Therapist | 655 South 7th St Bldg 700/700-a, 78 Mdg/sgoy, Robins Afb, GA 31098 | 2012-07-17 |
| 1972880979 | Leighcraft A Shakes | Pharmacist | 655 7th St Bldg 700a7878, Robins Afb, GA 31098 | 2011-11-04 |
| 1154625101 | Carolina Anna Perez | Counselor | 655 Seventh Street, Robins Afb, Warner Robines, GA 31098 | 2011-01-05 |
| 1811128754 | Shawn Christopher Moore | Military Health Care Provider | 655th 7th Street, Robins Afb, GA 31098 | 2009-07-27 |
| Find all providers in zip 31098 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033103858 | Dale Harrell | Nurse Practitioner | 655 South 7th Street Bldg 700/700a, 78 Mdg/cc, Robins Afb, GA 31098 | 2005-09-08 |
| 1639660418 | Crystal Annette Chatfield | Nurse Practitioner | 655 7th St Bldg 700, Robins Afb, GA 31098-2227 | 2018-05-28 |
| 1750891651 | Geoffrey Obia | Nurse Practitioner | 655 7th St Bldg 700, Robins Afb, GA 31098-2227 | 2017-10-05 |
| 1902237050 | Amy Kilbarger | Nurse Practitioner | 655 7th St Bldg 700700-a, 78 Mdg/ Sghc, Robins Afb, GA 31098-2227 | 2013-11-27 |
| 1578813507 | Deborah Jean Little | Nurse Practitioner | 655 7th St Bldg 700700a, 78 Mdg/sghc, Robins Afb, GA 31098-2227 | 2012-09-18 |
| 1437407368 | Carol Annette Kelly | Nurse Practitioner | 655 South 7th Street Bldg 700/700a, 78 Mdg/sgopf, Robins Afb, GA 31098 | 2012-08-27 |
| 1376878181 | Michael John O'keefe Jr. | Nurse Practitioner | 655 7th St Bldg 700700a, Robins Afb, GA 31098-2227 | 2009-10-13 |
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| Find all providers with the same taxonomy | ||||
| City | ROBINS AFB |
| Zip Code | 31098 |
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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.