CLAIRALYN LOIS BAUCOM (NPI# 1760569339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760569339 |
| Entity Type | Individual |
| Full Name | CLAIRALYN LOIS BAUCOM |
| Other Name | CLAIRALYN CATHERINE ELLIOTT |
| Credential | MD |
| Practice Address |
Kadena Pediatric Clinic 18mdg / Sghq Unit 5142 Apo AP 96367-5142 |
| Mailing Address |
18mdos Psc 80 Box 15477 Apo AP 96367-5142 |
| Practice Telephone | 3156304542 |
| Mailing Telephone | 3156304542 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0101240222 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
KADENA PEDIATRIC CLINIC 18MDG / SGHQ UNIT 5142 |
| City | APO |
| State | AP |
| Zip Code | 96367-5142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260311 | Doria Living | Registered Nurse | Ushno, Fpo, AP 96367 | 2020-09-16 |
| 1417467705 | Lindsay Grainger | Behavioral Analyst | 9815 Arnold Terrace, Kadena Air Base, Apo, AP 96367 | 2017-10-02 |
| 1942678289 | Zachary Cabana | Physical Therapist | 18th Medical Group/sgoy Kadena Ab, Apo, AP 96367 | 2015-09-03 |
| 1992039325 | Angela K Phillips | Nurse Practitioner | 626 Vincent Ave, 18th Medical Group, Apo, AP 96367 | 2009-10-02 |
| 1427224740 | Alberto Victor Cordova | Social Worker | Psc 80 Box 20251, Fpo, AP 96367 | 2008-05-06 |
| 1134397011 | Lesley M. Birdwell | Pharmacist | Psc 80 Box 10237, Apo, US 96367 | 2008-02-13 |
| 1891997474 | Risa A Bastien | Dentist | 18th Dental Squadron, Kadena Air Base, Apo, AP 96367 | 2007-06-05 |
| 1144369125 | Douglas Peter Olson | Dentist | Kadena Ab, Unit 5270, Apo, AP 96367 | 2007-02-06 |
| 1477614733 | Ann Victoria Jorstad | Military Health Care Provider | Edis Clinic, Psc 482 Box 1600, Fpo, AP 96367 | 2006-12-12 |
| 1376611236 | Jessica S Beal | Dietitian, Registered | Psc 80 Box 20398, Apo, AP 96367 | 2006-11-30 |
| Find all providers in zip 96367 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376070359 | Daniel Ilwoo Park | General Practice | Building S-555, Apo, AP 96271 | 2017-05-22 |
| 1881052793 | Victoria Okpala | General Practice | Bldg 9424 Battalion Ave, Apo, AA 76544 | 2016-02-05 |
| 1063883585 | Charl Woo | General Practice | Usag Camp Humphreys, Bldg. # 3030, Apo, AP 96271 | 2015-10-09 |
| 1083029193 | Francesann Hill | General Practice | 3214 East Santiago Avenue, Apo, AP 99703 | 2014-06-26 |
| 1316359417 | Timothy A Gocke | General Practice | Camp Walker, Wood Clinic, Apo, AP 96218 | 2014-05-22 |
| 1942648787 | Andre C. L. Liem | General Practice | Vilseck Scmh, Bldg 701, Apo, AE 09112 | 2013-06-13 |
| 1508203225 | Charles Robert Blackwell | General Practice | Cmr 411 Box 1532, Apo, AE 09112-0016 | 2013-06-04 |
| 1063859809 | Lisa Shaw | General Practice | Bldg 10506 Euphrates River Valley Road, Connor Troop Medical Center, Fort Drum Ny, Apo, AA 13602 | 2013-06-03 |
| 1982959771 | Matthew Puderbaugh | General Practice | 86th Medical Group Unit 3215, Apo, AE 09094 | 2012-07-17 |
| 1740475151 | Shimul Shah Patel | General Practice | Cmr 416 Box 799, Apo, AE 09140 | 2007-09-10 |
| Find all providers in APO | ||||
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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.