ADAM KOERTNER (NPI# 1831108083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831108083 |
| Entity Type | Individual |
| Full Name | ADAM KOERTNER |
| Practice Address |
1st Medical Group 77 Nealy Ave Langley Afb VA 23665-2023 |
| Practice Telephone | 7577646800 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2008-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0101242432 | VA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 23443 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
1ST MEDICAL GROUP 77 NEALY AVE |
| City | LANGLEY AFB |
| State | VA |
| Zip Code | 23665-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386621167 | Wayne Martin Pritt | Family Medicine | 1st Medical Group, 45 Pine Road, Langley Afb, VA 23665-2080 | 2005-12-22 |
| 1265676985 | Eric Richard Mccoy | Military Health Care Provider | 1st Medical Group, 77 Nealy Avenue, Langley Afb, VA 23665-2040 | 2009-04-24 |
| 1740421957 | Rick Lee Campise | Psychologist | 1st Medical Group, 77 Nealy Ave, Langley Afb, VA 23665-2040 | 2009-03-18 |
| 1245424555 | Thelma Diane Thomas | Advanced Practice Midwife | 1st Medical Group, 77 Nealy Avenue, Langley Afb, VA 23665-2023 | 2007-08-29 |
| 1306050430 | Denise Michelle Dunklee | Registered Nurse | 1st Medical Group, 77 Nealy Drive, Langley Afb, VA 23665-3339 | 2007-05-09 |
| 1508089673 | Nancy Jean Petrilak | Optometrist | 1st Medical Group, 77 Nealy Ave, Langley Afb, VA 23665-2023 | 2007-04-10 |
| 1093846362 | Robert Joseph Fischer | Obstetrics & Gynecology | 1st Medical Group, 45 Pine Street, Langley Afb, VA 23665-2080 | 2007-03-08 |
| 1649308909 | Joseph J Legan | Orthopaedic Surgery | 1st Medical Group, 45 Pine Street, Langley Afb, VA 23665-2080 | 2007-03-01 |
| 1952438178 | Kathleen Ann Cole | Dentist | 1st Medical Group, 45 Pine Street, Langley Afb, VA 23665-2080 | 2007-02-27 |
| 1821131863 | Peter Kestutis Budnikas | Dentist | 1st Medical Group, 45 Pine Street, Langley Afb, VA 23665-2080 | 2007-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
| Find all providers in zip 23665 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811956980 | Mical J Kupke | Emergency Medicine | 77 Nealy Blvd, Langley Afb, VA 23665-2023 | 2006-03-18 |
| 1548324619 | Pamela Mary Loveland | Emergency Medicine | 45 Pine St, 1 Medops Sq, Langley Afb, VA 23665-2025 | 2006-12-21 |
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|---|---|---|---|---|
| 1134734437 | Nh Digital Health Services, LLC | Emergency Medicine | 8650 Sudley Rd Ste 411, Manassas, VA 20110-4416 | 2020-09-14 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1073020194 | Colonial Heights Physicians, LLC | Emergency Medicine | 60 East Roslyn Court, Colonial Heights, VA 23834 | 2018-01-10 |
| 1265950372 | True North Health Navigation LLC | Emergency Medicine | 301 Virginia St Unit 609, Richmond, VA 23219-4172 | 2017-09-08 |
| 1780102608 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 105 Cameron Rd, Forest, VA 24551-1342 | 2017-08-30 |
| 1346763604 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 1330 Armory Drive, Franklin, VA 23851-2420 | 2017-07-19 |
| 1528581063 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 1583 N Main St Ste A, Marion, VA 24354-4317 | 2017-07-17 |
| 1245765247 | John Coles Wiggins IIi | Emergency Medicine | Emergency Medicine (division of Ultrasound), 1250 E Marshall St, Richmond, VA 23298-5051 | 2017-04-27 |
| 1225563679 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 4903 Nine Mile Rd, Richmond, VA 23223-5738 | 2017-04-24 |
| 1639602345 | Vishal Kant Goswami | Emergency Medicine | 4320 Seminary Rd Dept Of, Alexandria, VA 22304-1535 | 2017-04-10 |
| Find all providers with the same taxonomy | ||||
| City | LANGLEY AFB |
| Zip Code | 23665 |
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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.