99TH MEDICAL GROUP, NELLIS AFB (NPI# 1740261122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740261122 |
| Entity Type | Organization |
| Organization Name | 99TH MEDICAL GROUP, NELLIS AFB |
| Practice Address |
4700 Las Vegas Blvd N Mike O'callaghan Federal Hospital Nellis Afb NV 89191-6600 |
| Practice Telephone | 7026532616 |
| Mailing Telephone | 7026532616 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2008-06-13 |
| Authorized Official Name | DR. MARKHAM BROWN (CHIEF OF MEDICAL SERVICES) |
| Authorized Official Telephone | 7026532000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5434 | KY | Dental Providers |
| Street Address |
4700 LAS VEGAS BLVD N MIKE O'CALLAGHAN FEDERAL HOSPITAL |
| City | NELLIS AFB |
| State | NV |
| Zip Code | 89191-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445389 | Frank J Andriola | Internal Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2005-05-23 |
| 1245837392 | Cameron Springer | Military Health Care Provider | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-10-01 |
| 1063026474 | Haley Suzanne Emery | Physician Assistant | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-09-02 |
| 1033729991 | Brock Shaw | Dentist | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-08-05 |
| 1801404397 | Madelyn Danielle Golden | Military Health Care Provider | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-07-21 |
| 1114544103 | Jami Myong Reece | Family Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-06-25 |
| 1225654296 | Leah Corr | Physician Assistant | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-06-24 |
| 1821614405 | Aubrey Amanda Blanchette | Student in an Organized Health Care Education/Training Program | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-06-19 |
| 1346866290 | Shelbi Diane Duncan | Physician Assistant | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-06-17 |
| 1235751538 | Howard Luong | Physician Assistant | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225662687 | Ashley Raye Roth-garcia | Student in an Organized Health Care Education/Training Program | 99th Medical Group 4700 Las Vegas Blvd North, Nellis Afb, NV 89191 | 2020-02-25 |
| 1427553734 | Christopher Robert Weisgarber | Student in an Organized Health Care Education/Training Program | Mike O'callaghan Military Medical Center, 4700 Las Vegas Blvd North Bldg 1300, Las Vegas, NV 89191 | 2018-03-28 |
| 1912345448 | Austin Joseph Ladner | Dentist | 99th Air Base Wing Public Affairs, Fpo, AA 89191 | 2013-06-06 |
| 1528329018 | Mayer M Jeppson | Psychologist | 4700 Las Vegas Blvd. N, Nellis Afb, NV 89191 | 2012-05-31 |
| 1255560462 | Jordan Lawrence | Military Health Care Provider | 1579 Malmstrom Avenue, Nellis Afb, NV 89191 | 2009-07-09 |
| 1225263072 | Adrienne L Clark | Military Health Care Provider | 5154 Ellsworth Ave, Suite 61690, Las Vegas, NV 89191 | 2009-05-22 |
| 1568634335 | Eleanor C Basilio | Registered Nurse | 4700 Las Vegas Blvd., Nellis Afb, NV 89191 | 2008-04-01 |
| 1316137037 | Sarah Rachel Glick | Pediatrics | 4700 N. Las Vegas Blvd., Mike O'callaghan Federal Medical Center, 99 Mdos/sgoc, Nellis Afb, NV 89191 | 2007-07-30 |
| 1619181302 | Ben Carter Robinson | Orthopaedic Surgery | 4700 N. Las Vegas Blvd, Nellis Afb-mofh Nellis Orthopedics, Las Vegas, NV 89191 | 2007-05-10 |
| 1609992205 | Conrad Lochner IIi, Odpc | Optometrist | 5691 Rickenbacker Road, Bldg. 431, Las Vegas, NV 89191 | 2007-03-22 |
| Find all providers in zip 89191 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295025880 | Duy Quoc Nguyen | Dentist | 4700 Las Vegas Blvd N Ste 2419, 99th Dental Squadron/sgdr, Nellis Afb, NV 89191-6600 | 2011-04-15 |
| 1750910006 | Matthew Patrick O'neil | Dentist | 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191-6600 | 2020-04-07 |
| 1568954519 | David S Robinson | Dentist | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2018-06-05 |
| 1538683297 | Daniel Alan Reid | Dentist | 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191-6600 | 2017-08-02 |
| 1003296823 | Jordan Michael Jenkins | Dentist | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2015-06-06 |
| 1891718466 | Lynn C. Harris | Dentist | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2006-07-25 |
| 1013995745 | Sterling J Whipple | Dentist | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2006-01-03 |
| 1376527028 | Sheryl Kane | Dentist | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2005-12-05 |
| 1316929698 | Yowell Michael Sherrill | Dentist | 4700 Las Vegas Blvd N, Suite 2419, Nellis Afb, NV 89191-6600 | 2005-11-14 |
| 1679565402 | Benjamin R Clarke | Dentist | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2005-08-18 |
| Find all providers in NELLIS AFB | ||||
| City | NELLIS AFB |
| Zip Code | 89191 |
Please comment or provide details below to improve the information on 99TH MEDICAL GROUP, NELLIS AFB.
| 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.