DR. DEANNE ELIZABETH GRAYSON (NPI# 1851685135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851685135 |
| Entity Type | Individual |
| Full Name | DR. DEANNE ELIZABETH GRAYSON |
| Credential | D.O. |
| Practice Address |
Weed Army Community Hospital Bldg 390 Outer Loop Fort Irwin CA 92310 |
| Practice Telephone | 7603835440 |
| Mailing Telephone | 7603835440 |
| Enumeration Date | 2011-06-05 |
| Last Update Date | 2019-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
DOS-1534 | HI | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | DOS-1534 | HI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Army Medical Center, HI 968595001 | 8084335780 |
| Street Address |
WEED ARMY COMMUNITY HOSPITAL BLDG 390 OUTER LOOP |
| City | FORT IRWIN |
| State | CA |
| Zip Code | 92310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770546459 | Hope Marie Williamson | Nurse Practitioner | Weed Army Community Hospital, Bldg 166, 3rd Street, Fort Irwin, CA 92310 | 2006-04-11 |
| 1013320779 | Weed Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Weed Army Community Hospital, Mary E. Walker Centerbldg. 170 Rm. 400, Fort Irwin, CA 92310-5109 | 2014-06-10 |
| 1811262884 | Edward Wang | General Practice | Weed Army Community Hospital, 390 North Loop Road, Fort Irwin, CA 92310 | 2012-03-09 |
| 1518088426 | Holly Joan Berens | Licensed Practical Nurse | Weed Army Community Hospital, Bldg 166, Fort Irwin, CA 92310 | 2007-04-02 |
| 1730212804 | Michael Thomas Smalley | Licensed Vocational Nurse | Weed Army Community Hospital, Bldg 166, Fort Irwin, CA 92310 | 2007-03-14 |
| 1609911908 | Doris Marie Wolfe-bohannon | Registered Nurse | Weed Army Community Hospital, Building 170, Fort Irwin, CA 92310-0198 | 2007-02-21 |
| 1588730444 | Richard Alfred Behr | Registered Nurse | Weed Army Community Hospital, Fort Irwin, CA 92310 | 2006-11-24 |
| 1255356416 | Us Army Nursing Corp | Medicare Defined Swing Bed Unit | Weed Army Community Hospital, Fort Irwin, CA 92310-5109 | 2006-07-12 |
| 1881642387 | Patrick Brian Polk | Registered Nurse | Weed Army Community Hospital, Fort Irwin, CA 92310 | 2006-05-05 |
| 1013965417 | Katrina Dawn Beck | Registered Nurse | Weed Army Community Hospital, Fort Irwin, CA 92310 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100568 | Kellyann Michelle Francis | Dental Hygienist | 171, 4th St., Fort Irwin, CA 92310 | 2020-10-06 |
| 1598362253 | Lauren Elisabeth O'keefe | Dental Hygienist | 172 4th Street, Fort Irwin, CA 92310 | 2020-10-06 |
| 1215583737 | Lyra Angelica Velayo Matin | Marriage & Family Therapist | Bldg 390 N Loop Road, Fort Irwin, CA 92310 | 2019-08-12 |
| 1003384629 | Gary Barrow | Chiropractor | 390 Outerloop Rd, Fort Irwin, CA 92310 | 2018-11-13 |
| 1801373055 | Lee John Bizon Jr. | Nurse Practitioner | 390 North Loop Rd, Fort Irwin, CA 92310 | 2018-07-20 |
| 1619489937 | Ronda Marie Shiro | Dental Assistant | 171 Inner Loop Rpad, Fort Irwin, CA 92310 | 2017-10-26 |
| 1841713195 | James Degroot | Registered Nurse | Weed Army Community Hospital 390 North Loop Rd., Fort Irwin, CA 92310 | 2017-07-19 |
| 1356897615 | Alan Josiah Mills II | Dental Assistant | Bldg 171, 4th & Inner Loop Road, Fort Irwin, CA 92310 | 2016-08-28 |
| 1568917136 | Kathryn Paine | Physical Therapist | Building 390, North Loop Rd, Fort Irwin, CA 92310 | 2016-08-23 |
| 1487003588 | Kristyn Lauren Ollison | Dental Assistant | Bldg 248 A Meddac, Fort Irwin, CA 92310 | 2016-06-09 |
| Find all providers in zip 92310 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336462183 | Luat Le | General Practice | Bldg 166 4th and Inner Loop Dr., Fort Irwin, CA 92310 | 2010-03-09 |
| 1811262884 | Edward Wang | General Practice | Weed Army Community Hospital, 390 North Loop Road, Fort Irwin, CA 92310 | 2012-03-09 |
| 1457645319 | Daniella Fremstad | General Practice | Bldg 170, Mary E. Walker Center Pediatrics, Fort Irwin, CA 92310 | 2011-06-07 |
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| Find all providers with the same taxonomy | ||||
| City | FORT IRWIN |
| Zip Code | 92310 |
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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.