SEBASTIAN WRIGHT LARA (NPI# 1710240189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710240189 |
| Entity Type | Individual |
| Full Name | SEBASTIAN WRIGHT LARA |
| Credential | M.D. |
| Practice Address |
Psc 490 Fpo AP 96538-0490 |
| Mailing Address |
3810 Walnut Grove Rd Memphis TN 38111-6822 |
| Practice Telephone | 6713449231 |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2016-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | M-1994 | GU | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 0101254976 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
PSC 490 |
| City | FPO |
| State | AP |
| Zip Code | 96538-0490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215917406 | Michael Charles King | Radiology | Psc 490, Box 7716, Fpo, AP 96538-1600 | 2006-01-23 |
| 1518345800 | Delilah Kebede | Pharmacist | Psc 490, Box 7667, Fpo, AP 96538-0490 | 2015-05-07 |
| 1851786875 | Jonathan Sual Guerrero | Physical Therapist | Psc 490, Box 7606, Fpo, AP 96538-0490 | 2015-04-06 |
| 1134519267 | Melissa Ayala-allen | Social Worker | Psc 490, Box 7607, Fpo, AP 96538-0490 | 2015-01-27 |
| 1992146120 | Joseph James Clemons | Military Health Care Provider | Psc 490, #7, Fpo, AP 96538-1600 | 2013-07-16 |
| 1023458676 | Nathan P Kerestes | Family Medicine | Psc 490, Box 7607, Fpo, AP 96538-0490 | 2013-06-27 |
| 1073953964 | Angela Nichole Szatkowski | Family Medicine | Psc 490, Box 7607, Fpo, AP 96538-0490 | 2013-06-25 |
| 1215040001 | Michael A. Buckley | Anesthesiology | Psc 490, Anesthesiology, Fpo, AP 96538-0490 | 2006-08-16 |
| 1104841857 | Carlos C Kennedy | Orthopaedic Surgery | Psc 490, Box 9005, Fpo, AP 96538 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326471731 | Kutistia Diane Ragland | Radiologic Technologist | Psc 490 Bx 7716, Fpo, AP 96538 | 2013-08-21 |
| 1437593209 | Blaed Jacob Gerhart | Physician Assistant | 1 Farenholt St, Bldg K-1, Fpo, AP 96538 | 2013-04-24 |
| 1568658482 | Dexter Dancel Cabral | Military Health Care Provider | Psc 490 Box 7607, Fpo, AP 96538 | 2007-09-25 |
| 1770789331 | Branch Medical Clinic Guam | Clinic/Center | Building 6 Chapel Road, Santa Rita, GU 96538 | 2007-06-21 |
| 1023084738 | Leslie A Boone | Occupational Therapist | Box 9095, Fpo, AP 96538 | 2006-02-23 |
| 1093786048 | Jason Matthew Jones | Audiologist | Psc 490 Box 7732, Fpo, AP 96538 | 2006-01-29 |
| 1215917893 | Ik Jo Ahn | Anesthesiology | Psc 490, Box 9095, Fpo, AP 96538 | 2006-01-19 |
| 1841270881 | Jamie Metcalf Daut | Audiologist | Pcs 490 Box 7723, Fpo, AP 96538 | 2006-01-17 |
| 1992784052 | Donna Marie Hunter | Dietitian, Registered | Psc 490 Box 9095, Fpo, AP 96538 | 2006-01-17 |
| 1548249600 | Ethel Doreen Tomasi | Social Worker | Psc 490 Box 7704, Fpo, AP 96538 | 2006-01-16 |
| Find all providers in zip 96538 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043505589 | Elizabeth V Schulz | Pediatrics | Psc 482 Box 149, Fpo, AP 96362-0199 | 2011-06-13 |
| 1497735641 | Thomas Arthur Pluim II | Pediatrics | Psc 490, Box 7668, Fpo, AP 96530 | 2006-01-21 |
| 1326026659 | Anne Sinks Kuskowski | Pediatrics | Psc 819 Box 18, Us Naval Hospital Rota, Fpo, AE 09645-0001 | 2006-01-06 |
| 1760460026 | Edmund Alfred Milder | Pediatrics | Navy Branch Health Clinic, La Maddalena, Psc 816, Box 1785, Fpo, AE 09612-0049 | 2006-01-06 |
| 1629330493 | Charles Louis Groomes Iv | Pediatrics | Psc 810, Box 185, Fpo, AE 09589 | 2012-06-08 |
| 1679888424 | John Carroll Mcdonnell Iv | Pediatrics | Naval Hospital Guam, Psc 490 Box 7606, Fpo, AP 96538 | 2010-08-17 |
| 1740251834 | Lashawne Michelle Thomas | Pediatrics | Us Naval Hospital Sigonella, Psc 836 Box 2670, Fpo, AE 09636-2670 | 2006-01-28 |
| 1881664480 | Alton L. Stocks | Pediatrics | Psc 817, Box 2461, Fpo, AE 09622 | 2006-01-25 |
| 1144206566 | Lynn Ann Bailey | Pediatrics | Usnh Yokosuka Japan, Psc 475 Box 1, Fpo, AP 96350 | 2005-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508250937 | Joan Choi | Pediatrics | Brian Allgood Community Hospital, Unit 15543, Apo, AP 96205 | 2015-03-24 |
| 1538597901 | Rira Kim | Pediatrics | Baach, Pediatrics, Unit 15244 Bldg 7005, Box#818, Apo, AP 96205 | 2013-10-23 |
| 1063692135 | Eric C Parkinson | Pediatrics | 35 Mdg Building 99, Apo, AP 96319 | 2007-11-06 |
| 1699838805 | David J Eigner | Pediatrics | Hhc 121 Combat Support Hospital, Box #665, Apo, AP 96205 | 2006-12-18 |
| 1073595914 | Beatriz Eugenia Meza-valencia | Pediatrics | 121 General Hospital, Department of Pediatrics, Apo, AP 96205 | 2005-11-16 |
| 1063493252 | Rita L Moreck | Pediatrics | Usa Medical Department Activity Japan, Unit 45011 Bldg 704 Attn Mcja Qm, Apo, AP 96338-5011 | 2005-11-07 |
| 1083602007 | Oak J Hur | Pediatrics | 121st Geneal Hospital, Box 72, Apo, AP 96205 | 2005-10-13 |
| 1972957751 | Kirsten Miller-jaster | Pediatrics | 121 Brian Allgood Hospital, Unit 15281, Apo, AP 96205 | 2016-04-19 |
| 1023470838 | Veronica Alix | Pediatrics | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2016-03-22 |
| 1407241177 | Amylouise Cooper Case | Pediatrics | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2015-03-31 |
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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.