MR. WILLES TODD BRAXTON


Address: 5201 Lee Rd, Kaehler Memorial Medical Clinic, Buzzards Bay, MA 02542-1313
Phone: 5089686578

MR. WILLES TODD BRAXTON (NPI# 1710962642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710962642
Entity Type Individual
Full Name MR. WILLES TODD BRAXTON
Practice Address 5201 Lee Rd
Kaehler Memorial Medical Clinic
Buzzards Bay
MA 02542-1313
Mailing Address Po Box 1766
Mashpee
MA 02649-1766
Practice Telephone 5089686578
Mailing Telephone 5085644814
Enumeration Date 2005-12-14
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171000000X Military Health Care Provider B1673135 CA Other Service Providers

Office Location

Street Address 5201 LEE RD
KAEHLER MEMORIAL MEDICAL CLINIC
City BUZZARDS BAY
State MA
Zip Code 02542-1313

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487639506 Uscg Airstation Cape Cod Clinic/Center 5201 Lee Rd, Buzzards Bay, MA 02542-1313 2005-12-13
1023296597 United Stated Coast Guard Clinic/Center 5201 Lee Rd, Buzzards Bay, MA 02542-1313 2008-02-06
1780803510 Wyatt Kyle Lunden Helley Technician, Other 5201 Lee Rd, Buzzards Bay, MA 02542-1313 2007-04-24
1811018351 Ann Briand Dental Hygienist 5201 Lee Rd, Air Station Cape Cod, Buzzards Bay, MA 02542-1313 2007-04-03
1093835977 Us Coast Guard Clinic/Center 5201 Lee Rd, Buzzards Bay, MA 02542-1313 2007-04-02
1609996784 Kaehler Memorial Medical Clinic Clinic/Center 5201 Lee Rd, Air Station Cape Cod, Buzzards Bay, MA 02542-1313 2007-03-30
1407933054 Billy Timothy Lieb Technician, Other 5201 Lee Rd, Buzzards Bay, MA 02542-1313 2006-11-01
1306933056 Meredith Ann Kellett Technician, Other 5201 Lee Rd, Buzzards Bay, MA 02542-1313 2006-10-06
1154417269 Leslie Marie Urena Technician, Other 5201 Lee Rd, Buzzards Bay, MA 02542-1313 2006-10-05
1326067380 Kenneth Rawlings Harman Family Medicine 5201 Lee Rd, Buzzards Bay, MA 02542-1313 2006-07-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205957982 Uscg Clinic/Center 5439 A Lemay Ave., Buzzards Bay, MA 02542 2007-04-02
1487744660 Adam Lee Barton Spec/Tech, Pathology 5648c Doolittle Ave, Buzzards Bay, MA 02542 2006-10-16
1104802669 Stephen Corey Bond Emergency Medical Technician, Basic 5201 Lee Rd., Uscg Kaehler Memorial Medical Clinic, Buzzards Bay, MA 02542 2005-12-16
1033195599 John D Hughes Technician, Other U.S. Coast Guard Kaehler Memorial Medical Clinic, Lee Rd. Bldg 5201, Bourne, MA 02542 2005-12-16
1952386690 Richard Allen Jackson Emergency Medical Technician, Basic Kaehler Memorial Medical Clinic, Us Coast Guard, Otis Angb, MA 02542 2005-12-14
1417932997 Michael Anthony Carr Physician Assistant 5201 Lee Road, Uscg Air Station Cape Cod-kaehler Memorial Med Clinic, Buzzards Bay, MA 02542 2005-12-07
1932208352 Cape Cod Uscg Phcy Military/U.S. Coast Guard Pharmacy Kaehler Memorial Medical Clinic, 5201 Lee Rd Us Air Station, Cape Cod, MA 02542 2006-09-22
1447801188 Jondra Doyle Nurse Practitioner 5738 Kelly St, Buzzards Bay, MA 02542-1406 2019-09-24
1114018546 Jodie Lee White Technician, Other 5388 Mitchell Ave, Buzzards Bay, MA 02542-1517 2006-09-28
1467437392 Steven Graeme-ian Berlin Technician, Other 5450 Lemay Ave, Apt. A, Buzzards Bay, MA 02542-1549 2005-12-14
Find all providers in zip 02542

Taxonomy Information

Taxonomy Code 171000000X
Grouping Other Service Providers
Classification Military Health Care Provider

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902881840 Austin Williams Military Health Care Provider 5201 Lee Rd, Buzzards Bay, MA 02542-1313 2005-12-14
1780669614 David Hathaway Military Health Care Provider 5201 Lee Rd, Buzzards Bay, MA 02542-1313 2005-12-14
1144205006 Christina Marie Duffy Military Health Care Provider 5201 Lee Rd, Buzzards Bay, MA 02542-1313 2005-12-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376782888 Sarah Beth Goldman Military Health Care Provider 42 Kansas St Bldg 42, Us Army Research Institute of Environmental Medicine, Natick, MA 01760-2642 2009-02-08
1568621720 Timothy Fahey Military Health Care Provider 4 Newfield St, Leicester, MA 01524-1416 2008-06-03
1275657009 Irene Saunders Military Health Care Provider 30 Old Lyman Road, South Hadley, MA 01075 2007-03-19
1235209966 Teresa Lucente Brininger Military Health Care Provider 42 Kansas St, Natick, MA 01760-2642 2006-11-09
1538339759 Amanda Jean West Military Health Care Provider 150 Flanders Rd, Westboro, MA 01582 2008-03-04
1649473281 Ronald Phillip Hill Military Health Care Provider 427 Commercial St, Boston, MA 02109-1027 2007-06-11
1154394542 Middlesex Surgical Assoc.,inc Military Health Care Provider 955 Main St, Suite G2a, Winchester, MA 01890-1961 2006-02-08

Competitor

Search similar providers

City BUZZARDS BAY
Zip Code 02542

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Dataset Information

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.

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