DR. PETER PHILLIP STUDEBAKER (NPI# 1770072605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770072605 |
| Entity Type | Individual |
| Full Name | DR. PETER PHILLIP STUDEBAKER |
| Credential | DO |
| Practice Address |
36065 Santa Fe Avenue Carl R. Darnall Army Medical Center Fort Hood TX 76544-5060 |
| Mailing Address |
36065 Santa Fe Ave Fort Hood TX 76544-5060 |
| Practice Telephone | 2542888280 |
| Mailing Telephone | 5636768031 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2019-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 6827 | OK | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710981691 | Peter A Studebaker | Optometrist | 639 W National Rd, Englewood, OH 45322-1155 | 2005-06-09 |
| Street Address |
36065 SANTA FE AVENUE CARL R. DARNALL ARMY MEDICAL CENTER |
| City | FORT HOOD |
| State | TX |
| Zip Code | 76544-5060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396881199 | Luis Enrique Lozada Marrero | Pediatrics | 36065 Santa Fe Avenue, Carl R. Darnall Army Medical Center, Fort Hood, TX 76544 | 2007-01-29 |
| 1245716398 | Thomas Kimoi Mwibanda | Social Worker | 36065 Santa Fe Avenue, C Co., Fort Hood, TX 76544-5056 | 2018-07-12 |
| 1700318029 | Lisa Marie Stremel | Psychologist | 36065 Santa Fe Avenue, Carl R. Darnall Army Medical Center, Fort Hood, TX 76544 | 2017-03-28 |
| 1528504081 | Veronica Gorrell | Nurse Practitioner | 36065 Santa Fe Avenue, Carl R Darnall Medical Center, Fort Hood, TX 76544-5060 | 2017-01-09 |
| 1548612054 | Katherine Louise Rendon | Student in an Organized Health Care Education/Training Program | 36065 Santa Fe Avenue, Fort Hood, TX 76544 | 2016-07-08 |
| 1871926261 | Daisy Ewurakua Conduah | Obstetrics & Gynecology | 36065 Santa Fe Avenue, Department of Obstetrics and Gynecology, Fort Hood, TX 76544 | 2013-08-20 |
| 1356625792 | Darron K Fritz | Physician Assistant | 36065 Santa Fe Avenue, Attn: Mcxi-qmd-cr (credentials), Fort Hood, TX 76544-5060 | 2011-10-04 |
| 1801179759 | Amaya De La Garza | Internal Medicine | 36065 Santa Fe Avenue, Pulmonary Clinic, Fort Hood, TX 76554 | 2011-09-27 |
| 1669767240 | Tara Kelly Ortiz | Urology | 36065 Santa Fe Avenue, Department of Surgery/division of Urology, Fort Hood, TX 76544 | 2011-06-13 |
| 1558688465 | Charlene Ann Vestermark Hauser | Internal Medicine | 36065 Santa Fe Avenue, Gastroenterology Clinic, Fort Hood, TX 76544 | 2010-05-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626429 | Gilberto Rolando Nunez | Dental Hygienist | Dentac Fort Hood, 68th Street Bldg. 4431, Fort Hood, TX 76544 | 2020-10-09 |
| 1184236895 | Christina Belousov | Dentist | 14351 Battalion Ave, Apo, AA 76544 | 2020-08-24 |
| 1598377095 | Stephen Doh | Dentist | 23rd St &, Old Battalion Ave, Fort Hood, TX 76544 | 2020-08-18 |
| 1265041602 | Jamie Gregory | Registered Nurse | Building 33003 Battalion Ave, Fort Hood, TX 76544 | 2020-07-30 |
| 1013525559 | Danielle Robbins | Social Worker | 2255 761st Tank Battalion, Fort Hood, TX 76544 | 2020-07-21 |
| 1811530397 | Keven Faust | Physician Assistant | Carl R Darnell Army Medical Center, 36065 Sante Fe Ave, Fort Hood, TX 76544 | 2019-10-28 |
| 1760024483 | Whitney C Weatherall | Licensed Vocational Nurse | 5458 Hughes St Unit 2, Fort Hood, TX 76544 | 2019-10-14 |
| 1982255436 | Rojalina Nayak | Dentist | Building 4250 Clear Creek Road, Ste #213, Fort Hood, TX 76544 | 2019-09-26 |
| 1730735770 | Kai Steven Hatch | Dentist | 72nd and Support Building 33026, 1st Medical Brigade, Apo, AA 76544 | 2019-08-15 |
| 1881247864 | Melissa Ann Marcelli-flint | Social Worker | 21011 Old Ironsides Avenue, Fort Hood, TX 76544 | 2019-07-19 |
| Find all providers in zip 76544 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962845735 | Thomas Jonghwi Yi | Student in an Organized Health Care Education/Training Program | 36000 Darnall Loop # 68, Attn: Mcxi-dem, Fort Hood, TX 76544-5095 | 2013-04-11 |
| 1740881515 | Jessica Barraza | Student in an Organized Health Care Education/Training Program | Carl R. Darnall Army Medical Center, 36065 Santa Fe Ave., Fort Hood, TX 76544 | 2020-11-06 |
| 1104437714 | Min Cui | Student in an Organized Health Care Education/Training Program | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-08-17 |
| 1841813128 | Jessica Eker | Student in an Organized Health Care Education/Training Program | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-05-21 |
| 1831711001 | Dylan Clabaugh | Student in an Organized Health Care Education/Training Program | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-05-11 |
| 1871115030 | Joy Alvarado | Student in an Organized Health Care Education/Training Program | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-05-11 |
| 1346862679 | Thomas Kotnik | Student in an Organized Health Care Education/Training Program | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-05-08 |
| 1982225801 | Madalyn Dale Nelson | Student in an Organized Health Care Education/Training Program | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-05-01 |
| 1174144489 | Nicholas John Whalen | Student in an Organized Health Care Education/Training Program | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-04-28 |
| 1194345694 | Samuel Edward Lloyd | Student in an Organized Health Care Education/Training Program | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-04-24 |
| Find all providers in FORT HOOD | ||||
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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.