NAVAL HEALTH CLINIC PATUXENT RIVER (NPI# 1922044460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922044460 |
| Entity Type | Organization |
| Organization Name | NAVAL HEALTH CLINIC PATUXENT RIVER |
| Practice Address |
47149 Buse Rd Bldg 1370 Patuxent River MD 20670-1540 |
| Practice Telephone | 3013421418 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2017-11-14 |
| Authorized Official Name | WILLIAM M CONDON (BUMED UBO) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL HEALTH CLINIC PATUXENT RIVER |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902905318 | Naval Health Clinic Patuxent River | Military/U.S. Coast Guard Pharmacy | Bldg 1370, Patuxent River, MD 20670 | 2006-09-22 |
| 1003915133 | Naval Health Clinic Patuxent River | Military/U.S. Coast Guard Pharmacy | Branch Medical Clinic Bldg 192, Dahlgren, VA 22428 | 2006-09-22 |
| 1174620926 | Naval Health Clinic Patuxent River | Military/U.S. Coast Guard Pharmacy | Bldg 1600 Wilson Drive, Indian Head, MD 20640 | 2006-09-20 |
| 1659470078 | Naval Health Clinic Patuxent River | Military/U.S. Coast Guard Pharmacy | Bldg 1370, Patuxent River, MD 20670 | 2006-09-22 |
| Street Address |
47149 BUSE RD BLDG 1370 |
| City | PATUXENT RIVER |
| State | MD |
| Zip Code | 20670-1540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376521955 | John Christie | Preventive Medicine | 47149 Buse Rd, Bldg 1370, Patuxent River, MD 20670-1540 | 2006-01-04 |
| 1487263364 | Krystal Howell | Registered Nurse | 47149 Buse Rd, Patuxent River, MD 20670-1540 | 2020-07-28 |
| 1023413630 | Jessica Lauren Martin | Physician Assistant | 47149 Buse Rd, Naval Health Clinic Bldg 1370, Patuxent River, MD 20670-1540 | 2014-10-24 |
| 1386063998 | Bradley Yingst | General Practice | 47149 Buse Rd, Building 1370, Patuxent River, MD 20670-1540 | 2014-04-10 |
| 1477805661 | Allen Grove | Psychologist | 47149 Buse Rd, Patuxent River, MD 20670-1540 | 2012-10-11 |
| 1760746770 | Amanda Elizabeth Mcmillan | Physician Assistant | 47149 Buse Rd, Bldg 1370, Patuxent River, MD 20670-1540 | 2012-06-25 |
| 1154616142 | Ejiroghene Onos | Family Medicine | 47149 Buse Rd, Bldg 1370, Patuxent River, MD 20670-1540 | 2011-06-17 |
| 1376845628 | Ronnie Hope Crymes | Pharmacist | 47149 Buse Rd, Naval Health Clinic, Patuxent River, MD 20670-1540 | 2010-11-18 |
| 1780995787 | Vincent L Ackerman | Family Medicine | 47149 Buse Rd, Attn: Medical Staff Services, Patuxent River, MD 20670-1540 | 2010-06-24 |
| 1386975332 | Monika Turner | Pharmacist | 47149 Buse Rd, Patuxent River, MD 20670-1540 | 2010-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902905318 | Naval Health Clinic Patuxent River | Military/U.S. Coast Guard Pharmacy | Bldg 1370, Patuxent River, MD 20670 | 2006-09-22 |
| 1659470078 | Naval Health Clinic Patuxent River | Military/U.S. Coast Guard Pharmacy | Bldg 1370, Patuxent River, MD 20670 | 2006-09-22 |
| 1881831980 | Rebecca Lea Kong | Pharmacist | 22099 Cuddihy Rd Bldg 2369, Patuxent River, MD 20670-1194 | 2009-01-12 |
| 1770720922 | Lisa Kristine Brown | Pharmacist | 22099 Cuddihy Rd, Bldg 2369, Patuxent River, MD 20670-1194 | 2009-01-09 |
| 1336435163 | Leslie Ann Jago | Pharmacist | 22099 Cuddihy Rd, Building 2369, Patuxent River, MD 20670-1194 | 2011-06-20 |
| 1538362041 | Elizabeth Ann Davenport | Military Health Care Provider | 734 Carpenter Park Apt A, Patuxent River, MD 20670-1308 | 2007-06-11 |
| 1528041415 | William Anthony Hill | Optometrist | 47149 Buse Rd Bldg 1370, Patuxent River, MD 20670-1540 | 2005-11-23 |
| 1053307124 | Joseph Leonce Charlot Jr. | Preventive Medicine | 47149 Buse Road, Naval Health Clinic, Patuxent River, MD 20670-1540 | 2005-09-23 |
| 1932721263 | Hayley Bacon | Social Worker | 47149 Buse Rd Bldg 1370, Patuxent River, MD 20670-1540 | 2020-05-08 |
| 1487016119 | Chelsea Hayes Thompson | Family Medicine | 47149 Buse Rd Bldg 1370, Patuxent River, MD 20670-1540 | 2016-03-22 |
| Find all providers in zip 20670 | ||||
| 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] |
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|---|---|---|---|---|
| 1841498417 | Branch Medical Clinic Indian Head | Clinic/Center | 4141 W Wilson Rd, Suite105, Indian Head, MD 20640-5162 | 2007-07-05 |
| 1033315080 | Branch Medical Clinic Bancroft Hall | Clinic/Center | 121 Blake Rd, Annapolis, MD 21402-1300 | 2007-06-26 |
| 1063959450 | Uscg Clinic Baltimore | Clinic/Center | 2401 Hawkins Point Rd, Curtis Bay, MD 21226-1797 | 2017-01-24 |
| 1043668775 | Logistics Health Incorporated | Clinic/Center | 4201 Northview Dr Ste 410, Bowie, MD 20716-2668 | 2016-06-03 |
| 1811228422 | Us Coast Guard | Clinic/Center | 2401 Hawkins Point Rd, Baltimore, MD 21226-1797 | 2010-01-21 |
| 1851622401 | Us Coast Guard Yard - Hswl Clinic | Clinic/Center | 2401 Hawkins Point Rd, Bldg 28b, Baltimore, MD 21226 | 2010-01-21 |
| 1487850541 | Branch Medical Clinic Andrews | Clinic/Center | 1 San Diego Loop, Bldg 3282, Andrews Afb, MD 20762-5518 | 2007-06-26 |
| 1316142607 | Kimbrough Acc Military Mtf | Clinic/Center | 1434 Porter St, Usadc, Fort Detrick, MD 21702-9210 | 2007-06-18 |
| 1093910374 | Kimbrough Acc Military Mtf | Clinic/Center | 4110 Austin Road, Aberdeen Proving Ground, MD 21010 | 2007-06-18 |
| 1689879926 | Kimbrough Acc Military Mtf | Clinic/Center | 2501 Oakington St, Aberdeen Proving Ground, MD 21005-5131 | 2007-06-18 |
| Find all providers with the same taxonomy | ||||
| City | PATUXENT RIVER |
| Zip Code | 20670 |
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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.