National Provider Identifier (NPI)
JBSA LACKLAND


Jurisdiction: Medicare & Medicaid
Source: Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)

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.

JBSA LACKLAND · 1100 WILFORD HALL LOOP, BLDG 4554 · Search Result

NPI Name Taxonomy Address Enumeration
1508858176 Craig Harding Rhyne Jr. Dentist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw, Jbsa Lackland, TX 78236-9908 2005-08-18
1972132595 Samantha Nicole Rowden Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop, Bldg 4554, 59 Mdw/gme, Jbsa Lackland, TX 78236-9908 2020-04-06
1093340176 Dakota Tomasini Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop, Bldg 4554, 59 Mdw/gme, Jbsa Lackland, TX 78236-9908 2020-03-09
1679139877 Benjamin Wang Dentist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2019-05-13
1295294478 Adriana Zamora Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop, Bldg 4554, 59 Mdw/gme, Jbsa Lackland, TX 78236-9908 2019-03-18
1255899035 Emma Prichard Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop, Bldg 4554, 59 Mdw/gme, Jbsa Lackland, TX 78236-9908 2019-03-11
1083117584 Kevin Fluckiger Podiatrist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2018-03-12
1861907453 Eric Daniel Sanchez Physical Therapist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2017-12-05
1528571650 Holly Johnson Social Worker 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2017-11-11
1750804845 Marcela Land Dentist 1100 Wilford Hall Loop, Bldg 4554, Jbsa Lackland, TX 78236 2017-07-20
1396267555 Rachel Broussard Nurse Practitioner 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2017-07-10
1710439237 Nicole Marie Baker Physician Assistant 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2016-11-01
1912451170 Tyler Paul Cody Dentist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2016-08-05
1811383797 Danielle Giles Clinical Neuropsychologist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2015-04-08
1134511124 Edny Joseph Bryant Psychologist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2015-02-27
1487052486 Zachary Fetterman Psychologist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2014-12-08
1386052538 Jenny Phung Stevens Dentist 1100 Wilford Hall Loop, Bldg 4554, 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2014-07-31
1457762262 Jessica Scheibe Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2014-05-14
1659781466 Shane David Riggs Psychiatry & Neurology 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2014-05-01
1770908857 Chris Anthony Girouard II Dentist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2014-02-26
1407271513 Clarissa Da-yea Kim Dentist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2014-02-26
1285058024 Samanda Bryant Hagan Social Worker 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2014-02-14
1750710323 Miranda Williams Nurse Practitioner 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-6625 2013-11-05
1508200882 Robert Ryan Byrne Internal Medicine 1100 Wilford Hall Loop, Bldg 4554, 59th Medical Wing/saushec Gme, Jbsa Lackland, TX 78236 2013-04-17
1245587195 Brandon William Kuiper Internal Medicine 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2012-08-09
1710285630 Dustin Simpson Radiology 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2011-03-01
1215231626 Elise Marie Ocelnik Psychologist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9900 2010-12-28
1447562467 Rodney A Ho Jr. Physician Assistant 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2010-07-07
1346561941 Derek Smith Allergy & Immunology 1100 Wilford Hall Loop, Bldg 4554, Attn: 59mdw/sghc, Jbsa Lackland, TX 78236 2010-06-17
1750606471 Stuart Kent Brigham Internal Medicine 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2010-04-06
1063747996 Glen M. Robinson Physician Assistant 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sg, Jbsa Lackland, TX 78236-9908 2009-10-09
1548494008 Belinda Lee Kelly Psychiatry & Neurology 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2009-05-12
1831335876 Kieran Kaur Dhillon Psychologist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59mdw/sghc, Jbsa Lackland, TX 78236-9908 2008-12-22
1427206341 Nadia S Regis Registered Nurse 1100 Wilford Hall Loop, Bldg 4554, Attn: 59mdw/sghc, Jbsa Lackland, TX 78236-9908 2008-09-04
1366690497 Christopher (chris) J Button Psychologist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2008-09-03
1831350438 Matthew Steven Brock Psychiatry & Neurology 1100 Wilford Hall Loop, Bldg 4554, Aatn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2008-06-17
1619137072 Paul Michael Drayna Ophthalmology 1100 Wilford Hall Loop, Bldg 4554, Jbsa Lackland, TX 78236 2008-06-10
1740459635 Mary T Pawlak Preventive Medicine 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2008-02-25
1649448705 Molly Kathleen Boyer Internal Medicine 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2008-02-12
1902085616 Emily E Rucker Psychologist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2007-10-30
1801091574 Michael Wesley Van De Kieft Internal Medicine 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2007-06-20
1619170024 James Richard Neiner Dermatology 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2007-06-06
1447462015 Cade Adam Salmon Dentist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2007-05-04
1720202468 Douglas William Byerly Radiology 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2007-04-12
1669594859 Matthew Caldwell Ophthalmology 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2007-04-06
1710031075 Erika Lee King Social Worker 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2007-01-23
1043380116 Mario George Nicolas Psychologist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2006-11-08
1669558243 Karen Bowman Pediatrics 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2006-10-27
1245329010 Suzanne B. Stinson Speech-Language Pathologist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2006-10-12
1578660007 Erika L Best Social Worker 1100 Wilford Hall Loop, Bldg 4554, Jbsa Lackland, TX 78236-9908 2006-09-19
1013933522 David Lynn Wells Dentist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2006-07-15
1356382774 Miriam Friedman Ophthalmology 1100 Wilford Hall Loop, Bldg 4554, Ophthalmology Clinic, Jbsa Lackland, TX 78236 2006-06-09
1871553040 David William Murray Dentist 1100 Wilford Hall Loop, Bldg 4554, Jbsa Lackland, TX 78236-9908 2006-03-23
1013986306 Deborah Anne Cleary Nurse Anesthetist, Certified Registered 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2006-03-17
1902878747 Aida M Solivan Ortiz Dentist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2006-02-06
1417929829 April Jo Taylor Audiologist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2006-02-02
1467431874 Kristen Benae Nichols Dentist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2006-01-13
1851379143 Paul David Kohler Optometrist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2006-01-06
1265410567 Tom Joseph Sauerwein Internal Medicine 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2006-01-06
1306824636 Elvin Josel Cruz-zeno Anesthesiology 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2006-01-06
1457339889 Brian Young Physical Therapist 1100 Wilford Hall Loop, Bldg 4554, 59 Mdw/sghc, Jbsa Lackland, TX 78236 2006-01-05
1528045937 Thomas Joseph Evans Nurse Anesthetist, Certified Registered 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2005-12-28
1083691372 Mary A Webb Physician Assistant 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2005-12-28
1477539211 Kai-wood Ma Family Medicine 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2005-12-22
1811973563 Aasif Mirza Family Medicine 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2005-12-15
1285619486 Eric L Cathey Dentist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2005-12-09
1841275153 Kimberly Bradley Family Medicine 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2005-12-08
1821072323 Juan Garza Specialist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2005-11-30
1487645925 Kara M Van De Kieft Radiology 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2005-11-03
1689665788 Kelly Lynn Czeiszperger Social Worker 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2005-10-31
1497744551 Richard Townsend Dentist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2005-10-20
1669460119 Scott Irwin Dentist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9909 2005-10-10
1073500922 Jane Sueko Wallace Dentist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2005-10-05
1861489106 Matthew Micah Malan Dermatology 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2005-10-03
1982698700 Bradley Michael Turner Dentist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2005-09-08
1659365625 Christopher L Podlin Dentist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2005-09-07
1629061072 Jeremy Francis Scarpate Dentist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2005-08-31
1588657027 Daniel George Dupont Dentist 1100 Wilford Hall Loop, Bldg 4554, Attn: 59mdw/sghc, Jbsa Lackland, TX 78236-9908 2005-08-30
1326030917 Beth Mary Baykan Nurse Practitioner 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2005-08-19
1770571614 Michelle V Medellin Internal Medicine 1100 Wilford Hall Loop, Bldg 4554 Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 2005-10-13