DR. ALEXANDER DOMINIC JOBRACK (NPI# 1922488360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922488360 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDER DOMINIC JOBRACK |
| Credential | D.O |
| Practice Address |
690 Barnes Blvd Joint Base Lewis Mcchord WA 98438-1336 |
| Mailing Address |
301 Fisher St. Rm 5a 127 81 Msgs/sgcq Keesler Afb MS 39534 |
| Practice Telephone | 2096106732 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2018-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
1591 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
690 BARNES BLVD |
| City | JOINT BASE LEWIS MCCHORD |
| State | WA |
| Zip Code | 98438-1336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083600068 | Kathleen Greenhalgh | Nurse Practitioner | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2005-09-23 |
| 1982175113 | Miguel Antonio Rodriguez Jr. | Military Health Care Provider | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2018-12-16 |
| 1184135428 | Eric Logan Dorner | Case Manager/Care Coordinator | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2017-10-13 |
| 1952812349 | Jodie Mitchell | Case Manager/Care Coordinator | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2017-10-12 |
| 1093226458 | Jayce Moody | Dental Hygienist | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2017-10-12 |
| 1861916801 | Christopher D Lucio Strayer | Military Health Care Provider | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2017-08-01 |
| 1154877645 | Chanel Pedersen | Licensed Practical Nurse | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2016-08-25 |
| 1063864809 | Tom Thomas | Registered Nurse | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2016-07-05 |
| 1407228737 | Jamye Patrice Gore | Nurse Practitioner | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2015-10-26 |
| 1255677225 | Lois Fisher | Counselor | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2012-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457810483 | Roveds Kaarins | Nursing Care | Mcchord Air Force Base Clinic, 690 Barnes Blvd Jblm Lakewood Wa, Apo, AA 98438 | 2019-03-19 |
| 1326459843 | Dr Larsen Eye Care Inc | Optometrist | 504 A St Mcchord Main Exchange, Ft. Lewis Mcchord Afb, WA 98438 | 2014-05-19 |
| 1548580392 | Kevin Lok | Family Medicine | 600 Barnes Blvd., Mcchord Medical Clinic, Jblm, WA 98438 | 2010-06-03 |
| 1720205578 | Nathan Kane Fosmore | Registered Nurse | Us Dept of The Us Airforce, 690 Barnes Blvd, Mcchord Afb, WA 98438 | 2007-04-20 |
| 1225176951 | Ronald Richardson Morris | Family Medicine | 690 Barnes Road, Mcchord Medical Clinic Fam Med Clinic, Joint Base Lewis Mcchord, WA 98438 | 2007-02-02 |
| 1770527418 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | A Street Bldg 504, Mcchord Afb, WA 98438 | 2006-06-15 |
| 1982660692 | Shanti Jones | Registered Nurse | 62nd Med Group, 690 Barnes Ave, Mcchord Afb, WA 98438 | 2006-04-21 |
| 1578547436 | Cynthia Lee Fry-spray | Physician Assistant | 691 Barnes Blvd, Mcchord Afb, WA 98438 | 2005-12-05 |
| 1366432171 | Robert Dean Rock | Dentist | 527 Barnes Blvd, Mcchord Air Forse Base Dental Clinic, Mcchord, WA 98438 | 2005-10-24 |
| 1457344913 | Norman Harris | Dentist | 62mdos/sgod 690 Barnes Blvd., Mcchord Afb, WA 98438 | 2005-08-30 |
| Find all providers in zip 98438 | ||||
| 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 |
|---|---|---|---|---|
| 1851370654 | Lena Friend | Preventive Medicine | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538431721 | William Michael Waring | Preventive Medicine | 4127 Sw Kenyon St, Seattle, WA 98136-2332 | 2012-02-02 |
| 1033442298 | Gary Lee Henriksen | Preventive Medicine | 362 Greywolf Rd, Sequim, WA 98382-7574 | 2009-09-04 |
| 1174609341 | James Glazebrook Billingsley | Preventive Medicine | 1901 S Union, Tacoma, WA 98405 | 2006-10-31 |
| 1861582140 | Murl Edwin Leibrecht | Preventive Medicine | 578 Michael Way, Camano Island, WA 98282-8464 | 2006-10-15 |
| 1447343967 | Timothy J Ungs | Preventive Medicine | 6626 Chapel Hill Blvd Apt L104, Pasco, WA 99301-3880 | 2006-10-02 |
| 1639115892 | Harry Quigg Davis IIi | Preventive Medicine | Madiagn Army Medical Center, Mchj-fp (avn Med), Tacoma, WA 98431-0001 | 2006-06-22 |
| 1851356133 | Paul J Amoroso | Preventive Medicine | Credententials Office Madigan Army Medical Ctr, 9040 Fitzsimons Drive, Attn: Mchj-ci, Tacoma, WA 98431-0001 | 2006-04-19 |
| 1588638787 | Richard John Montminy | Preventive Medicine | 4320 196th St Sw Ste D, Us Healthworks Medical Group, Lynnwood, WA 98036-6753 | 2006-02-14 |
| 1447230123 | Nicholas Antony Davenport | Preventive Medicine | 1465 Scurlock Ln, Mukilteo, WA 98275-1734 | 2006-01-19 |
| 1477539989 | Jamin T Mcmahon | Preventive Medicine | 7811 Reliance Ridge Ln, Gig Harbor, WA 98335-1196 | 2005-12-16 |
| Find all providers with the same taxonomy | ||||
| City | JOINT BASE LEWIS MCCHORD |
| Zip Code | 98438 |
Please comment or provide details below to improve the information on DR. ALEXANDER DOMINIC JOBRACK.
| 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.