MATTHEW PUDERBAUGH (NPI# 1982959771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982959771 |
| Entity Type | Individual |
| Full Name | MATTHEW PUDERBAUGH |
| Credential | D.O. |
| Practice Address |
86th Medical Group Unit 3215 Apo AE 09094 |
| Mailing Address |
Psc 2 Box 5471 Apo AE 09012-0055 |
| Practice Telephone | 3144792609 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2015-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 5101019889 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
86TH MEDICAL GROUP UNIT 3215 |
| City | APO |
| State | AE |
| Zip Code | 09094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228282 | Larry Bowman Jr. | Pharmacist | 86th Medical Group Unit 3215, Apo, AE 09094 | 2020-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043722077 | Claudia Kayatani | Social Worker | Ramstein Afb, 86th Mdg, Apo, AE 09094 | 2017-10-31 |
| 1073993549 | Philip Oro | Family Medicine | Psc 2, Unit 3215, Bldg 2114, Room 201, Apo, RAMSTEIN-MIESENBACH 09094 | 2015-06-01 |
| 1336528363 | Talon Miner | Preventive Medicine | 86 Amds / Sgpf, Flight Surgeon Office Unit 3215, Apo, AE 09094 | 2015-05-22 |
| 1578973921 | Joseph Lincoln Abrams | Preventive Medicine | 86 Amds Unit 3212, Apo, AE 09094 | 2014-05-06 |
| 1063756575 | Bethany Allison Casper | Nurse Practitioner | Ramstein Air Base, 86 Mdg, Apo, AE 09094 | 2012-11-21 |
| 1871846113 | Adam P Faber | Nurse Practitioner | 86mdg, Unit 3215, Apo, AE 09094 | 2012-10-24 |
| 1760757371 | Nathan Larson | Dentist | 86ds/sgd, Unit 3215, Apo, AE 09094 | 2012-03-14 |
| 1609004589 | Lashonda M Green Morehead | Military Health Care Provider | 435 Th Mdos/sgopf, Unit 3215 Ramstein Ab, Germany, Apo, AE 09094 | 2009-06-30 |
| 1952588766 | Denise Maria Martin Zona | Counselor | 86 Mdos/sgow, Unit 3215, Apo, AE 09094 | 2008-01-23 |
| 1821071424 | 86th Medical Group | Clinic/Center | Unit 3215, Apo, AE 09094 | 2005-11-29 |
| Find all providers in zip 09094 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376070359 | Daniel Ilwoo Park | General Practice | Building S-555, Apo, AP 96271 | 2017-05-22 |
| 1881052793 | Victoria Okpala | General Practice | Bldg 9424 Battalion Ave, Apo, AA 76544 | 2016-02-05 |
| 1063883585 | Charl Woo | General Practice | Usag Camp Humphreys, Bldg. # 3030, Apo, AP 96271 | 2015-10-09 |
| 1083029193 | Francesann Hill | General Practice | 3214 East Santiago Avenue, Apo, AP 99703 | 2014-06-26 |
| 1316359417 | Timothy A Gocke | General Practice | Camp Walker, Wood Clinic, Apo, AP 96218 | 2014-05-22 |
| 1942648787 | Andre C. L. Liem | General Practice | Vilseck Scmh, Bldg 701, Apo, AE 09112 | 2013-06-13 |
| 1508203225 | Charles Robert Blackwell | General Practice | Cmr 411 Box 1532, Apo, AE 09112-0016 | 2013-06-04 |
| 1063859809 | Lisa Shaw | General Practice | Bldg 10506 Euphrates River Valley Road, Connor Troop Medical Center, Fort Drum Ny, Apo, AA 13602 | 2013-06-03 |
| 1740475151 | Shimul Shah Patel | General Practice | Cmr 416 Box 799, Apo, AE 09140 | 2007-09-10 |
| 1326239559 | Michael Alan Redd | General Practice | 501 Sbde, Hhc, Unit 15476, Box 146, Apo, AP 96260 | 2007-08-05 |
| Find all providers in APO | ||||
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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.