DR. EUGENE VINCENT BONVENTRE (NPI# 1831271402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831271402 |
| Entity Type | Individual |
| Full Name | DR. EUGENE VINCENT BONVENTRE |
| Credential | MD |
| Practice Address |
Pentagon Flight Medicine Clinic 1760 Air Force Pentagon Room 4a674 Washington DC 20330-1760 |
| Mailing Address |
2109 12th Pl Nw Washington DC 20009-7510 |
| Practice Telephone | 7036973255 |
| Practice Fax Number | 7036141663 |
| Mailing Telephone | 7036970561 |
| Mailing Fax Number | 7036930729 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
IL | Allopathic & Osteopathic Physicians | |
| X | 208600000X | Surgery | IL | Allopathic & Osteopathic Physicians |
| Street Address |
PENTAGON FLIGHT MEDICINE CLINIC 1760 AIR FORCE PENTAGON ROOM 4A674 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20330-1760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306824859 | John Stuart Baxter | Family Medicine | Pentagon, Room 4a674, Arlington, VA 20330 | 2006-01-05 |
| 1336262559 | Charles Bruce Green | Family Medicine | Hq Usaf Sg, 1780 Air Force Pentagon, Washington, DC 20330-0001 | 2007-04-10 |
| 1013014869 | Wramc Treasury Tpcp | Military/U.S. Coast Guard Pharmacy | 1760 Usaf Pentagon, Washington, DC 20330-0001 | 2006-09-20 |
| 1073780342 | Sally R Hayes | Family Medicine | 1760 Air Force Pentagon, Rm 4a870, Washington, DC 20330-1760 | 2008-05-14 |
| 1336118660 | Darlene P Smallman | Family Medicine | Pentagon Flight Medicine Rm 4a870, 1760 Air Force Pentagon, Washington, DC 20330-1760 | 2006-03-17 |
| 1669460556 | George Peach Taylor Jr. | Preventive Medicine | Hq Usaf/sg, 1780 Air Force Pentagon, Washington, DC 20330-1780 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437993 | Rhonda Allman | Technician | 3118 Harris Hwy, Washington, WV 26181-8709 | 2020-11-08 |
| 1841891538 | Deidra Montgomery | Technician | 1402 Lake Washington Rd, Washington, WV 26181-8222 | 2020-11-08 |
| 1033710793 | Mykeena Naylor | Technician | 7 U St Nw, Washington, DC 20001-1010 | 2020-11-07 |
| 1942801683 | Jacquise C Martin | Technician | 2801 14th St Nw Apt 303, Washington, DC 20009-4946 | 2020-11-07 |
| 1497356133 | Deonta Marcell Saleem | Technician | 2400 Hartford St Se Apt 104, Washington, DC 20020-7967 | 2020-11-07 |
| 1033710959 | Wanda H. Rappaport | Psychologist | 2440 M Street, Nw, Suite 512, Washington, DC 20037 | 2020-11-06 |
| 1811598709 | Emily Ann Brown | Nutritionist | 4316 Alabama Ave Se, Washington, DC 20019-3001 | 2020-11-05 |
| 1447851548 | Caroline Nadine Hudgens | Technician | 2412 Wagner St Se, Washington, DC 20020-3416 | 2020-11-04 |
| 1255932380 | Donald Anthony Harris | Technician | 1924 Savannah St Se, Washington, DC 20020-7535 | 2020-11-04 |
| 1528669819 | Lyndell Neal Simms | Technician | 7053 Spring Pl Nw Apt 313, Washington, DC 20012-2193 | 2020-11-04 |
| Find all providers in WASHINGTON | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891767612 | Joseph D Piorkowski Jr. | Preventive Medicine | 910 17th St Nw, Suite 800, Washington, DC 20006-2601 | 2006-02-06 |
| 1487634333 | Dwight Cator Fulton | Preventive Medicine | 914 Charles Morris Court Se, Military Sealift Command, Washington Navy Yard, Washington, DC 20398-5540 | 2006-01-18 |
| 1417930017 | George Joseph Mckenna | Preventive Medicine | Veterans Affairs Medical Ctr, 50 Irving Street, N.w., Washington, DC 20422-0001 | 2005-11-28 |
| 1669460556 | George Peach Taylor Jr. | Preventive Medicine | Hq Usaf/sg, 1780 Air Force Pentagon, Washington, DC 20330-1780 | 2005-10-13 |
| 1811981871 | Vincent Joel Michaud | Preventive Medicine | 300 E St Sw, Washington, DC 20546 | 2005-09-07 |
| 1386876209 | Colleen A Annes | Preventive Medicine | Dilorenzo Tricare Health Clinic, 5801 Army Pentagon, Washington, DC 20310-0001 | 2009-08-11 |
| 1295714236 | Dana Thomas | Preventive Medicine | 2100 2nd St Sw, Cg-1133, Room 5308, Washington, DC 20593-0001 | 2006-01-10 |
| 1437135183 | Ricky Malone | Preventive Medicine | 6900 Georgia Ave Nw, Washington, Washington, DC 20307-5001 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962498956 | Philip Allan La Kier | Preventive Medicine | 110 Luke Ave Rm 405, Bolling Afb, DC 20032-6400 | 2005-09-25 |
| 1649265216 | James Gordon Roudebush | Preventive Medicine | 110 Luke Ave, Suite 400, Bolling Air Force Base, DC 20032-7050 | 2005-09-20 |
| 1841291937 | Mark Edward Mavity | Preventive Medicine | 11 Medical Group, 238 Brookley Avenue, Bolling Afb, DC 20332-0001 | 2005-08-10 |
| City | WASHINGTON |
| Zip Code | 20330 |
Please comment or provide details below to improve the information on DR. EUGENE VINCENT BONVENTRE.
| 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.