2ND MEDICAL GROUP SGSL (NPI# 1992802748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992802748 |
| Entity Type | Organization |
| Organization Name | 2ND MEDICAL GROUP SGSL |
| Other Organization Name | BARKSDALE MAIN PHCY |
| Practice Address |
243 Curtiss Rd Ste 100 Barksdale Afb LA 71110-2425 |
| Mailing Address |
2mdss 243 Curtiss Rd Ste 100 Barksdale Afb LA 71110 |
| Practice Telephone | 3184566233 |
| Practice Fax Number | 3184566243 |
| Mailing Telephone | 3184566233 |
| Mailing Fax Number | 3184566243 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2017-03-01 |
| Authorized Official Name | HECTOR MORALES (CHIEF DHA PASS) |
| Authorized Official Telephone | 2105366650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2034574 | 01 |
| Other Name | Type Code |
|---|---|
| BARKSDALE MAIN PHCY | Doing Business As Name - Organization |
| Street Address |
243 CURTISS RD STE 100 |
| City | BARKSDALE AFB |
| State | LA |
| Zip Code | 71110-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932195518 | Kim Michael Schoeffel | Pediatrics | 243 Curtiss Rd, 2 Mdg Suite 100, Barksdale Afb, LA 71110-2425 | 2005-09-20 |
| 1487281937 | Laura Andrea Londono | Student in an Organized Health Care Education/Training Program | 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 | 2020-03-25 |
| 1962040956 | Angelo Boss | Pharmacist | 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 | 2019-12-20 |
| 1497264949 | Milagros Galvez-gargurevich | Psychologist | 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 | 2017-09-28 |
| 1891179578 | Heather C Acres | Military Health Care Provider | 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 | 2015-07-13 |
| 1578945010 | Christopher Bailes | Family Medicine | 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 | 2015-06-21 |
| 1689075822 | Susanna Vee Weeks | Registered Nurse | 243 Curtiss Rd, Suite 100, Office # 1087, Barksdale Afb, LA 71110-2425 | 2014-09-08 |
| 1093139610 | Adrienne S. Williams | Pharmacist | 243 Curtiss Rd, Suite 100, Barksdale Afb, LA 71110-2425 | 2014-02-18 |
| 1851715122 | Barksdale Air Force Base | Clinic/Center | 243 Curtiss Rd, Suite 100, Barksdale Afb, LA 71110-2425 | 2014-02-07 |
| 1053658559 | Christy-lynne Marie Mcginnis | Physician Assistant | 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 | 2013-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275029704 | Melissa Nicole Ratliff | Dentist | 234 Curtiss Rd, Barksdale Afb, LA 71110 | 2018-07-09 |
| 1174010268 | Jeffrey M Van Ness | Student in an Organized Health Care Education/Training Program | Air Force Base Dentist Clinic, Twining Drive, Barksdale Afb, LA 71110 | 2018-04-16 |
| 1538577028 | Kevin Adams | Dentist | 234 Curtiss Road, Barksdale Afb, LA 71110 | 2014-07-28 |
| 1881908960 | Maria T Kalmantis | Pediatrics | University Hospital Heraklion, Heraklion, CRETE 71110 | 2010-08-02 |
| 1992931539 | Jonathan Schulze | Dentist | 40 Barksdale Blvd, Barksdale Afb, Apo, AA 71110 | 2009-06-10 |
| 1649405846 | Sylvia Jean Wimberly | Social Worker | 243 Curtis Road, Bldg. 4546, Suite 100, Barksdale Afb, LA 71110 | 2009-05-18 |
| 1730313602 | Brian W Signal | Military Health Care Provider | 243 Cutiss Rd, 2 Mdg, Barksdale Afb, LA 71110 | 2009-05-07 |
| 1720298425 | Hap House | Day Training, Developmentally Disabled Services | 244 Turner Ave., Barksdaleafb, LA 71110 | 2007-05-23 |
| 1326197435 | Gigi Briones Russel Frost | Dental Hygienist | 1067 Twining Dr., Barksdale Afb, LA 71110 | 2007-01-09 |
| 1619034824 | Lakesha Wilson | Dental Hygienist | 1067 Twinning Dr., Bossier, LA 71110 | 2007-01-03 |
| Find all providers in zip 71110 | ||||
| Taxonomy Code | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467551093 | 2 Nd Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | Bldg 4709, Barksdale Afb, LA 71110 | 2006-09-21 |
| 1538571096 | 2mdss Sgsb | Military/U.S. Coast Guard Pharmacy | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2014-06-02 |
| 1205800109 | 2 Mdss Sgsr | Military/U.S. Coast Guard Pharmacy | 243 Curtiss Rd, Suite 100, Barksdale Afb, LA 71110-2425 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710224514 | Bayne-jones Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 8091 Georgia Ave Bldg 3504, Fort Polk, LA 71459-5468 | 2013-01-14 |
| 1033218441 | Bayne-jones Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 1585 3rd St, Bayne Jones Army Community Hosp, Ft Polk, LA 71459 | 2006-09-22 |
| 1942309356 | New Orleans Nac Phcy | Military/U.S. Coast Guard Pharmacy | 1 Sanctuary Dr Bldg H100, New Orleans, LA 70142-0001 | 2006-09-22 |
| 1710084561 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 4400 Dauphine St Bldg 601, New Orleans, LA 70146-5609 | 2006-09-20 |
| 1316554645 | Baynes-jones Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 1585 3rd St Bldg 285, Fort Polk, LA 71459-5102 | 2020-09-30 |
| 1447664727 | Bayne Jones Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 1585 3rd St Bldg 285, Bayne Jones Army Community Hospital, Fort Polk, LA 71459-5102 | 2014-06-16 |
| 1093128282 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 400 Russell Ave Bldg 41, New Orleans, LA 70143-5077 | 2014-06-05 |
| City | BARKSDALE AFB |
| Zip Code | 71110 |
Please comment or provide details below to improve the information on 2ND MEDICAL GROUP SGSL.
| 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.