86TH MEDICAL GROUP (NPI# 1821071424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821071424 |
| Entity Type | Organization |
| Organization Name | 86TH MEDICAL GROUP |
| Practice Address |
Unit 3215 Apo AE 09094 |
| Practice Telephone | 3144801110 |
| Mailing Telephone | 3144801110 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2015-05-19 |
| Authorized Official Name | CHRISTOPHER DOUGLAS EATON (AIR FORCE UNIFORM BUSINESS OFFICE) |
| Authorized Official Telephone | 7036817018 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities |
| Street Address |
UNIT 3215 |
| City | APO |
| State | AE |
| Zip Code | 09094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033690540 | Heather Maples Mccaleb | Nurse Practitioner | Unit 3215, Apo, AE 09094-3215 | 2018-08-23 |
| 1881107233 | Lauren Nicole Kester | Physical Therapy Assistant | Unit 3215, Apo, AE 09094-3215 | 2017-11-08 |
| 1285183517 | Tijuana Odom | Social Worker | Unit 3215, Apo, AE 09094-3215 | 2016-09-28 |
| 1437480480 | Jennifer Dawn Leckie | Acupuncturist | Unit 3215, Apo, AE 09094-3215 | 2010-01-14 |
| 1306074281 | Mumbi Melody Ngugi | Physician Assistant | Unit 3215, Apo, AE 09094-3215 | 2009-06-30 |
| 1811136690 | Cristina Lynn Franchetti | Surgery | Unit 3215, Apo, AE 09094-3215 | 2009-02-18 |
| 1114170271 | Michael Patrick Zeola | Psychiatry & Neurology | Unit 3215, Apo, AE 09094-3215 | 2008-11-02 |
| 1689659211 | Jesus Morales Cortes | Dentist | Unit 3215, Apo, AE 09094-3215 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043722077 | Claudia Kayatani | Social Worker | Ramstein Afb, 86th Mdg, Apo, AE 09094 | 2017-10-31 |
| 1073993549 | Philip Oro | Family Medicine | Psc 2, Unit 3215, Bldg 2114, Room 201, Apo, RAMSTEIN-MIESENBACH 09094 | 2015-06-01 |
| 1336528363 | Talon Miner | Preventive Medicine | 86 Amds / Sgpf, Flight Surgeon Office Unit 3215, Apo, AE 09094 | 2015-05-22 |
| 1578973921 | Joseph Lincoln Abrams | Preventive Medicine | 86 Amds Unit 3212, Apo, AE 09094 | 2014-05-06 |
| 1063756575 | Bethany Allison Casper | Nurse Practitioner | Ramstein Air Base, 86 Mdg, Apo, AE 09094 | 2012-11-21 |
| 1871846113 | Adam P Faber | Nurse Practitioner | 86mdg, Unit 3215, Apo, AE 09094 | 2012-10-24 |
| 1982959771 | Matthew Puderbaugh | General Practice | 86th Medical Group Unit 3215, Apo, AE 09094 | 2012-07-17 |
| 1760757371 | Nathan Larson | Dentist | 86ds/sgd, Unit 3215, Apo, AE 09094 | 2012-03-14 |
| 1609004589 | Lashonda M Green Morehead | Military Health Care Provider | 435 Th Mdos/sgopf, Unit 3215 Ramstein Ab, Germany, Apo, AE 09094 | 2009-06-30 |
| 1952588766 | Denise Maria Martin Zona | Counselor | 86 Mdos/sgow, Unit 3215, Apo, AE 09094 | 2008-01-23 |
| Find all providers in zip 09094 | ||||
| Taxonomy Code | 261QM1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military/U.S. Coast Guard Outpatient |
| The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891982518 | Jtf-b Med El-honduras | Clinic/Center | Unit 5700, Apo, AA 34042 | 2007-09-26 |
| 1568660348 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg 1665, Apo, AP 96205 | 2007-07-03 |
| 1811195696 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg 3576, Apo, AP 96205 | 2007-07-03 |
| 1457559239 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg 7005, Apo, AP 96205 | 2007-07-03 |
| 1730387515 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg S4034, Apo, AP 96205 | 2007-07-03 |
| 1306042494 | 121st Csh/baach | Clinic/Center | Unit 15658, Bldg 808, Apo, AP 96224 | 2007-06-25 |
| 1730385824 | 121st Csh/baach | Clinic/Center | Unit 15659, Bldg 220, Apo, AP 96218 | 2007-06-25 |
| 1215133301 | 121st Csh/baach | Clinic/Center | Unit 15660, Bldg 555, Apo, AP 96271 | 2007-06-25 |
| 1053517144 | 121st Csh/baach | Clinic/Center | Unit 15663, Bldg 600, Apo, AP 96297 | 2007-06-25 |
| 1700082880 | 121st Csh/baach | Clinic/Center | Unit 15652, Bldg 5107, Apo, AP 96205 | 2007-06-25 |
| 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.