ERIC KINCAID-SHARP (NPI# 1952759607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952759607 |
Entity Type | Individual |
Full Name | ERIC KINCAID-SHARP |
Credential | D.O |
Practice Address |
60 Mdg/amds 101 Bodin Cir Travis Afb CA 94535 |
Mailing Address |
101 Bodin Cir Travis Afb CA 94535-1809 |
Practice Telephone | 7074235445 |
Mailing Telephone | 7074235445 |
Enumeration Date | 2016-06-02 |
Last Update Date | 2018-04-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 20A15762 | CA | Allopathic & Osteopathic Physicians |
N | 171000000X | Military Health Care Provider | 20A15762 | CA | Other Service Providers |
Street Address |
60 MDG/AMDS 101 BODIN CIR |
City | TRAVIS AFB |
State | CA |
Zip Code | 94535 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508487711 | Sheila C Flood | Student in an Organized Health Care Education/Training Program | 101 Biden Circle, Fairfield, CA 94535 | 2020-04-28 |
1568081255 | Miguel Julian Moreno | Student in an Organized Health Care Education/Training Program | 690 Airmen Drive, Travis Afb, CA 94535 | 2020-04-13 |
1174096101 | Zlatoslava Karga | Nurse Practitioner | 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 | 2019-01-02 |
1437648292 | Luke C Vera | Dentist | David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 | 2018-05-08 |
1588163430 | Sanaz Ziad | Pharmacist | 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 | 2018-02-06 |
1194265686 | Geoffrey Johnston | Dentist | 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 | 2017-03-02 |
1336693407 | Hannah Isla Nordwall | Social Worker | 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 | 2016-08-06 |
1184177149 | Taylor Murrie-robinson | Social Worker | 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 | 2016-07-26 |
1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
1922469931 | David Crago | Psychologist | 60 Mdos/sgow, 101 Bodin Circle, Travis Afb, CA 94535 | 2016-03-18 |
Find all providers in zip 94535 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558894691 | Shelby Jean Madden | General Practice | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2017-04-05 |
1104206366 | Brittany Ballen | General Practice | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2015-06-03 |
1053600924 | Audra Krystell Mendelsohn | General Practice | 101 Bodin Cir, 60mdg/sgoc, Travis Afb, CA 94535-1809 | 2011-03-31 |
1073815205 | Raeann Heather Macalma | General Practice | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2010-11-19 |
1144273707 | Michael Aluker | General Practice | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2006-05-17 |
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Find all providers with the same taxonomy |
City | TRAVIS AFB |
Zip Code | 94535 |
Please comment or provide details below to improve the information on ERIC KINCAID-SHARP.
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.