COREY J BADGETT (NPI# 1710488614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710488614 |
| Entity Type | Individual |
| Full Name | COREY J BADGETT |
| Practice Address |
490 Central Ave Pearl Harbor HI 96860-4958 |
| Practice Telephone | 8084740625 |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2020-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| Street Address |
490 CENTRAL AVE |
| City | PEARL HARBOR |
| State | HI |
| Zip Code | 96860-4958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609335009 | Douglas Connor Trask | General Practice | 490 Central Ave, Pearl Harbor, HI 96860-4958 | 2019-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770075970 | April Box | Registered Nurse | Naval Health Clinic Hawii, 480 Central Avenue, Pearl Harbor, HI 96860 | 2018-06-04 |
| 1760985535 | Daniel Thomas Weinberg | General Practice | 1430 Morton St Bldg 619, Jbphh, HI 96860 | 2018-03-17 |
| 1003325366 | Justin Hesse | Military Health Care Provider | Building 17 Bishop Point, Pearl Harbor, HI 96860 | 2017-09-29 |
| 1982057816 | John Alois Kustermann | Family Medicine | 490 Central Avenue Bldg 281, Honolulu Military Entrance Processing Station, Pearl Harbor, HI 96860 | 2016-07-15 |
| 1104290519 | Carlton Jacob Maughan | Military Health Care Provider | Bldg 17 Bishops Point, Pearl Harbor, HI 96860 | 2015-11-23 |
| 1588079206 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Makalapa Rd, Bldg 1407, Pearl Harbor, HI 96860 | 2014-06-23 |
| 1922349968 | Jose Israel Lopez | Military Health Care Provider | Mdsu-1 Bishop Point, Building 17, Pearl Harbor, HI 96860 | 2013-03-14 |
| 1790056620 | Lesley Brooke Dorsey | Physician Assistant | 408 Central Ave, Jbphh, HI 96860 | 2012-01-24 |
| 1184914061 | William A Talbott | Military Health Care Provider | 850 Ticonderoga St, Pearl Harbor, HI 96860 | 2011-04-13 |
| 1275860603 | Michael J. Rodriguez | Military Health Care Provider | 822 Clark St., Nssc Medical Suite 400, Pearl Harbor, HI 96860 | 2009-11-05 |
| Find all providers in zip 96860 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548639115 | Pollyanna Palhano | Military Health Care Provider | 480 Central Ave, Naval Health Clinic Hawaii, Pearl Harbor, HI 96860-4908 | 2015-09-24 |
| 1497731194 | Karlwin J Matthews | Military Health Care Provider | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2005-12-15 |
| 1316929060 | Marcella Raquel Oden | Military Health Care Provider | 480 Central Ave, Naval Health Clinic Hawaii - Professional Affairs, Pearl Harbor, HI 96860-4908 | 2005-11-17 |
| 1417945882 | Hamilton Melvin Winston | Military Health Care Provider | 480 Central Ave, Naval Health Clinic Command, Pearl H, Pearl Harbor, HI 96860-4908 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408543 | Hung Tran | Military Health Care Provider | 1897 Ranger Loop, Bldg 184, Honolulu, HI 96818-5072 | 2019-10-10 |
| 1043702327 | Brett Kaplan | Military Health Care Provider | Desmond Doss Health Clinic, Building 683 (3rd Battalion Clinic), Schofield Barracks, HI 96876 | 2018-06-03 |
| 1548439078 | Charles E Bilbo | Military Health Care Provider | 91-1184 Lukahiu Pl, Ewa Beach, HI 96706-4503 | 2008-02-28 |
| 1871785295 | Ronald Walter Sowa | Military Health Care Provider | 1370 Hiahia St, Wailuku, HI 96793-9700 | 2007-08-10 |
| 1578521670 | Lam H. Le | Military Health Care Provider | 98-1024 Palula Way, Aiea, HI 96701-2823 | 2006-05-01 |
| 1326029000 | Sherrie Sue Woods | Military Health Care Provider | 91-1680 Alaiki St, Ewa Beach, HI 96706-2000 | 2005-11-09 |
| 1013515352 | Erin M Kang | Military Health Care Provider | 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | 2020-10-09 |
| 1679181291 | Ben Chu | Military Health Care Provider | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-07-20 |
| 1881151348 | Catherine Moulton | Military Health Care Provider | 490 Central Ave, Jbphh, HI 96860-4958 | 2019-02-20 |
| 1790006286 | Amanda Marn | Military Health Care Provider | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2010-06-18 |
| Find all providers with the same taxonomy | ||||
| City | PEARL HARBOR |
| Zip Code | 96860 |
Please comment or provide details below to improve the information on COREY J BADGETT.
| 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.