SPENCER COREY SOUTHERLAND (NPI# 1922359702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922359702 |
Entity Type | Individual |
Full Name | SPENCER COREY SOUTHERLAND |
Credential | IDC |
Practice Address |
Seal Team 2 Unit 60003 Fpo AE 09501-4633 |
Practice Telephone | 3602860972 |
Enumeration Date | 2012-09-20 |
Last Update Date | 2012-09-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171000000X | Military Health Care Provider | Other Service Providers |
Street Address |
SEAL TEAM 2 UNIT 60003 |
City | FPO |
State | AE |
Zip Code | 09501-4633 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275670481 | Charles F Baxter Jr. | Military Health Care Provider | Comusnavcent, Psc 451 Code N014, Fpo, AE 09501 | 2007-01-30 |
1548237928 | Andrew Thomas Chubb | Military Health Care Provider | Mcm Crew Implicit, Medical Department, Fpo, AE 09501 | 2006-03-03 |
1437345279 | Jeffrey Chad Cook | Military Health Care Provider | Mcm Crew Impervious, Medical Department, Fpo, AE 09501 1901 | 2007-09-14 |
1023202546 | Brian Morse Jacobson | Military Health Care Provider | Mcm Crew Reaper, Fpo, AE 09501 1905 | 2007-08-28 |
1417249608 | Derielle Rashad Thurman | Military Health Care Provider | Pc Crew Foxtrot, Pc Coastal Squadron, Fpo, AE 09501-1915 | 2011-05-06 |
1083880413 | Michael Don Weaver | Military Health Care Provider | Pc Crew Foxtrot 40266, Fpo, AE 09501-1915 | 2008-05-06 |
1164671640 | Jason Zane Dillow | Military Health Care Provider | Patrol Coastal Crew Mike, Pc 2, Fpo, AE 09501-1925 | 2008-09-09 |
1538479431 | Michael Ryan Mutert | Military Health Care Provider | Pc Crew Lima, Fpo, AE 09501-1926 | 2010-10-14 |
1982705117 | John Seals | Technician | Uscg Patfor Swa, Unit 3950, Fpo, AE 09501-3950 | 2006-09-26 |
1205806528 | Luisa Caterina Kropcho | Surgery | Fleet Surgical Team 8, Fpo Ae, VA 09501-7030 | 2006-01-26 |
Find all providers in zip 09501 |
Taxonomy Code | 171000000X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
Notes: [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215306675 | Bryan Lopez | Military Health Care Provider | Psc 455 Box 182, Medical Department, Navspecwaunit One, Fpo, AP 96540-1182 | 2015-09-16 |
1013385533 | Yomaira Maritza Gonzalez | Military Health Care Provider | Psc 475 Box 1345, Fpo, AP 96350-9998 | 2015-09-15 |
1750763637 | Kathleen R Montanez | Military Health Care Provider | Naval Hospital Guam Psc 455, Fpo, AP 96540 | 2015-06-26 |
1164827135 | Mark Steven Little | Military Health Care Provider | 3d Marine Division, Unit 35801, Fpo, AP 96382-5801 | 2014-11-03 |
1598164592 | Jami Erickson | Military Health Care Provider | Uss Dewey, Ddg 105, Fpo, AP 96663-1303 | 2014-08-15 |
1609164946 | Adam Alma Reel | Military Health Care Provider | 3d Recon Bn, Unit 36180, Fpo, AP 96602-6180 | 2011-07-20 |
1972742773 | 8carla T Yballe | Military Health Care Provider | Bldg. 9497 Kab Psc 4821, Fpo, AP 96362 | 2009-02-18 |
1528210374 | John Wesley Huckleberry II | Military Health Care Provider | Unit 100236 Drawer 2703, Uss Dwight D Eisenhower Cvn 69, Fpo, AE 09532-3627 | 2008-10-10 |
1851561518 | Christopher Michael Brown | Military Health Care Provider | Uss Tripoli (lha-7), Medical Department, Fpo, AP 99765 | 2008-03-09 |
1376739722 | Gary B. Hoyt | Military Health Care Provider | Psc 482 Box 2577, Fpo, AP 96362 | 2007-09-19 |
Find all providers in FPO |
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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.