USAF (NPI# 1861470957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861470957 |
| Entity Type | Organization |
| Organization Name | USAF |
| Other Organization Name | WILFORD HALL MEDICAL CENTER |
| Practice Address |
2200 Berquist Drive Suite 1 Lackland Afb TX 78236-5300 |
| Practice Telephone | 2102926393 |
| Practice Fax Number | 2102923338 |
| Mailing Telephone | 2102926393 |
| Mailing Fax Number | 2102923338 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RANDALL JUDSON MCDANIEL (DIRECTOR OF OROFACIAL PAIN) |
| Authorized Official Telephone | 2102926393 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | 5934-015 | WI | Hospitals |
| Other Name | Type Code |
|---|---|
| Wilford Hall Medical Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093256059 | Usaf | Psychiatric Unit | 418 Shrewsbury St, Holland, OH 43528-8568 | 2017-03-10 |
| 1538394564 | Usaf | Military Hospital | Psc 103 Box 2882, Apo, AE 09603-0029 | 2009-05-20 |
| 1659559078 | Usaf | Military Hospital | Unit 2022, Kunsan Ab, Apo, AP 96264-2022 | 2008-02-07 |
| 1427041441 | Usaf | Military Hospital | Bld 760 Maxwell Afb Clinic, Montgomery, AL 36117 | 2005-08-24 |
| 1386187656 | Usaf | Clinic/Center | 2200 Berquist Drive, Suite 1, Attn: Credentials, Jbsa-lackland, TX 78236-9908 | 2016-11-18 |
| 1609327428 | Usaf | Military Health Care Provider | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2016-10-17 |
| 1417349697 | Usaf | Military Hospital | 527 Gott Rd, Enid, OK 73705-5103 | 2015-02-25 |
| 1174500961 | Usaf | Military Hospital | 1st Medical Group, 45 Pine Road, Langley Afb, VA 23665-2080 | 2005-12-22 |
| 1750365003 | Usaf | General Acute Care Hospital | 101 Bodin Cir, Travis Afb, Fairfield, CA 94535-1809 | 2005-11-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | USAF JROTC KADENA AB | 60 West Maxwell Blvd, Maxwell Afb, AL 36112-5951 |
| System for Award Management (SAM) Entities | USAF JROTC KO-951 OSAN AB | Unit 2037, Apo, AP 96278 |
| Virginia Business Entities | USAF Police Alumni Foundation | 4623 Woodway Pl, Dale City, Virginia 22193 |
| New York State Corporations | USAF TRADING, INC | 411 East 57th Street, Suite 101, New York, Ny 10022 |
| Colorado Business Entities | USAFA Gold Class Spirit Association, Inc. | 1942 Broadway St. Ste 314c, Boulder, CO 80302 |
| Colorado Business Entities | USAFA HHI No.3, LLC | 1155 Kelly Johnson Blvd., Suite 111, Colorado Springs, CO 80920 |
| Colorado Business Entities | USAFA Historical Society | 8010 Orchard Path Rd, Colorado Springs, CO 80919 |
| Alabama Business Registrations | USAFA Parents Club of Alabama, Inc. | 1858 Mimosa Road, Leeds, AL 35094 |
| Colorado Business Entities | USAFA Silver Spirit Committee | 1942 Broadway St., Ste 314c, Boulder, CO 80302 |
| Washington State Corporations | USAFACTS GROUP LLC | 10400 Ne 4th St Ste 3000, Bellevue, WA 98004-5174 |
| Street Address |
2200 BERQUIST DRIVE SUITE 1 |
| City | LACKLAND AFB |
| State | TX |
| Zip Code | 78236-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225016694 | Dennis Jay Robinson | Physician Assistant | 2200 Berquist Drive, Suite 1 Attn: Credentials (cmc), Lackland Afb, TX 78236-6300 | 2006-01-05 |
| 1609135417 | Amileah Ryan Davis | Student in an Organized Health Care Education/Training Program | 2200 Berquist Drive, Suite 1, Lackland Afb, TX 78236-9908 | 2012-05-14 |
| 1417273343 | Jorge Armando Escudero | Pharmacist | 2200 Berquist Drive, Suite 1, Lackland Afb, TX 78236 | 2010-04-16 |
| 1053645796 | Carmen Maria Wyatt | Counselor | 2200 Berquist Drive, Suite 1, Lackland Afb, TX 78236 | 2009-09-29 |
| 1881892750 | Marsha Lynn Bloodworth | Pharmacist | 2200 Berquist Drive, Wilford Hall Med Center Pharmacy Squadron, Lackland Afb, TX 78236 | 2007-07-03 |
| 1629056064 | Melody Vinson | Physician Assistant | 2200 Berquist Drive, Suite 1 Attn: Credentials ( Cmc), Lackland Afb, TX 78236-5300 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851773535 | Wbamc Dept of Medicine/im Training Program | Military Hospital | 5005 N. Piedras Street, Attn: Dom/im Program Wbamc, El Paso, TX 79920-5001 | 2015-06-18 |
| 1831578087 | Alma Denise Harman | Military Hospital | 13275 Emerald Creek Dr, Horizon City, TX 79928-6556 | 2015-05-20 |
| 1104216332 | Va Medical Center | Military Hospital | 10707 W Interstate 10 Apt 436, San Antonio, TX 78230-1674 | 2015-01-26 |
| 1366858938 | Baxter Healthcare Corporation | Military Hospital | 1618 Shady Holw, New Braunfels, TX 78132-2354 | 2014-07-03 |
| 1215353784 | Elizabeth Arnold | Military Hospital | 4539 Bissonnet St, Apt. 1, Bellaire, TX 77401-3127 | 2014-03-08 |
| 1770859878 | Oleg Balter | Military Hospital | 6231 Colony Crk, San Antonio, TX 78240-5320 | 2012-03-22 |
| 1255617676 | Department of Veterans Affairs | Military Hospital | 3022 Heritage Creek Oaks, Houston, TX 77008-6156 | 2011-10-31 |
| 1528357878 | Baylor College of Medicine | Military Hospital | 1709 Dryden Rd Ste 1100, Houston, TX 77030-2414 | 2011-04-06 |
| 1578898029 | Baylor College of Medicine | Military Hospital | 3103 Fairhope St, Houston, TX 77025-3228 | 2009-10-15 |
| 1548498058 | Yaoyao Zhu | Military Hospital | 1320 Austin Hwy, San Antonio, TX 78209 | 2009-06-24 |
| Find all providers with the same taxonomy | ||||
| City | LACKLAND AFB |
| Zip Code | 78236 |
Please comment or provide details below to improve the information on USAF.
| 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.