DANIEL GERARDO IZQUIERDO (NPI# 1942416292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942416292 |
| Entity Type | Individual |
| Full Name | DANIEL GERARDO IZQUIERDO |
| Credential | PA |
| Practice Address |
Martin Army Community Hospital Fort Benning GA 31905 |
| Mailing Address |
2419 W Southlake Blvd Ste 100 Southlake TX 76092-1506 |
| Practice Telephone | 7065442258 |
| Mailing Telephone | 7066105717 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2019-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA11409 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
MARTIN ARMY COMMUNITY HOSPITAL |
| City | FORT BENNING |
| State | GA |
| Zip Code | 31905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720065964 | Helen B Hadley | Optometrist | Martin Army Community Hospital, Eent-optometry, Fort Benning, GA 31905 | 2005-12-29 |
| 1649892506 | Phillip Michael Scheanon | Student in an Organized Health Care Education/Training Program | Martin Army Community Hospital, 6600 Van Aalst Boulevard, Fort Benning, GA 31905 | 2020-05-14 |
| 1578185542 | Benjamin Elias Garcia | Student in an Organized Health Care Education/Training Program | Martin Army Community Hospital, 6600 Van Aalst Blvd, Bldg 9250, Fort Benning, GA 31905 | 2020-05-13 |
| 1437783859 | Steven Allen Stineman | Physician Assistant | Martin Army Community Hospital, 6600 Van Aalst Blvd, Fort Benning, GA 31905 | 2020-02-25 |
| 1699334094 | Victoria Rose Hall | Student in an Organized Health Care Education/Training Program | Martin Army Community Hospital, 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905 | 2019-06-10 |
| 1669998795 | Jeane Khoo | Student in an Organized Health Care Education/Training Program | Martin Army Community Hospital, 6600 Val Aalst Blvd, Fort Benning, GA 31905 | 2017-08-21 |
| 1508312711 | Martin Army Community Hospital | Military Hospital | Martin Army Community Hospital, 6600 Van Aalst Blvd, Bldg 9250, Fort Benning, GA 31905 | 2016-08-28 |
| 1013398841 | Paul Bricker | Student in an Organized Health Care Education/Training Program | Martin Army Community Hospital, Fort Benning, GA 31905 | 2015-06-17 |
| 1174936942 | Martin Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Martin Army Community Hospital, 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-5637 | 2014-06-09 |
| 1962696302 | Rachel R Sanchez | Nurse Practitioner | Martin Army Community Hospital, Fort Benning, GA 31905 | 2007-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741366 | Micah Elizabeth Lajoie | Specialist/Technologist | 7148 2nd Cavalry Street, Ft. Benning, GA 31905 | 2020-05-11 |
| 1598301384 | Tiffany Nicole Wolfe | Physical Therapist | 7446 Sightseeing Road, Bldg 2515, Ft Benning, GA 31905 | 2019-11-27 |
| 1790261022 | Kyle Joseph Burkardt | Dentist | Love Dental Clinic, 7101 Hoff St, Bldg 9240, Apo, AA 31905 | 2018-07-19 |
| 1821514449 | Rebekah Schott | Dentist | 7101 Hoff St., Fort Benning, GA 31905 | 2017-08-15 |
| 1043757677 | Karen Tolliver | Dental Hygienist | 7770 Sightseeing Rd, Bldg 2828, Fort Benning, GA 31905 | 2017-01-20 |
| 1356897953 | Katelyn Dolezal | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd, Bldg 9250, Fort Benning, GA 31905 | 2016-09-01 |
| 1043663636 | Vicky J. Nehl | Dental Hygienist | 11th Abn Div Rd, Bldg 3255, Fort Benning, GA 31905 | 2016-07-19 |
| 1376992719 | Xenia Key | Dental Assistant | 7770 Sightseeing Road, Bernheim Dental Clinic, Fort Benning, GA 31905 | 2016-06-07 |
| 1588013189 | Barbara Parker | Dental Assistant | 2828 Sightseeing Rd, Fort Benning, GA 31905 | 2016-06-06 |
| 1568811255 | Tavonna Ashley | Dental Hygienist | 7107 Hoff Street, Apo, AA 31905 | 2016-06-03 |
| Find all providers in zip 31905 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748409 | Jesse Aaron Denson | Physician Assistant | 2046 Point Grey Ct Nw, Kennesaw, GA 30152-8276 | 2020-10-20 |
| 1568074227 | James D Craig | Physician Assistant | 3210 New College Way, Cumming, GA 30041-2896 | 2020-08-23 |
| 1982223244 | Keith Hawkins | Physician Assistant | 8498 Glenview St, Douglasville, GA 30134-5639 | 2020-04-15 |
| 1639704307 | Spectrum Surgical LLC | Physician Assistant | 3142 Highway 278 Nw # 135, Covington, GA 30014-2304 | 2020-03-03 |
| 1255962205 | Songthu Nguyen | Physician Assistant | 6119 Foxcroft Ct, Morrow, GA 30260-1069 | 2020-01-29 |
| 1265071229 | Stellar Surgical Assisting | Physician Assistant | 3446 Winder Hwy Ste M-322, Flowery Branch, GA 30542-3007 | 2019-12-22 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1710528401 | Hannah Ingrid Boomgarden | Physician Assistant | 1467 Harper Street Hb 5040, Augusta, GA 30912-5775 | 2019-10-03 |
| 1891257028 | Symmetry Surgical Billing LLC | Physician Assistant | 5135 Mirror Lake Dr, Cumming, GA 30028-7216 | 2019-04-05 |
| Find all providers with the same taxonomy | ||||
| City | FORT BENNING |
| Zip Code | 31905 |
Please comment or provide details below to improve the information on DANIEL GERARDO IZQUIERDO.
| 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.