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 · Search Result

NPI Name Taxonomy Address Enumeration
1063482420 Scott Warren Monroe Family Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2006-01-26
1215907019 Charles Ray Fisher Jr. Family Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2006-01-24
1366412454 Harpreet S Mangat Family Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-01-23
1568441509 Timothy William Sowin Preventive Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-01-10
1942288071 Kevin Michael White Allergy & Immunology 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-01-09
1073591350 Jerry Bryan Owen Preventive Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-01-06
1336127612 Matthew Talbot Williams Chiropractor 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2006-01-06
1083692370 Jeremiah Yanga Samson Physical Therapist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2006-01-06
1891773198 Marie J Han Dermatology 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-01-06
1497733604 Mark Gerard Prescott Nurse Anesthetist, Certified Registered 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-01-06
1023096393 Lisa Leader Kohler Optometrist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2006-01-05
1538147954 Michael D. Zollars Dentist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-01-05
1487632816 Howard Neil Garb Counselor 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2006-01-05
1013993864 Charles Richard Elchert Jr. Chiropractor 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2005-12-22
1861477101 Lisa Marie Bader Social Worker 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2005-12-09
1700861127 Robert Sebastian Kent Family Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2005-12-08
1720063126 Christine Stabile Optometrist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2005-12-08
1265417844 Dixon Lorenzo Christian Family Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2005-12-07
1851375539 Heather Dawn Hellwig Pharmacist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2005-12-06
1326022864 Samantha Timm Psychologist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2005-11-29
1427039510 Garry Scott Moore Preventive Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2005-11-07
1538150032 Cecili K Sessions Pediatrics 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2005-11-03
1417948811 Anthony Isaac Zarka Radiology 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2005-11-03
1881683530 Carl Anthony Labella IIi Dentist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2005-10-17
1326036237 Matthew Thomas Raper Dentist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2005-10-13
1912994724 James E Shields Physical Therapist 1100 Wilford Hall Loop Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 2005-10-06
1528055290 Ilaina Michelle Wingler Clinical Neuropsychologist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2005-09-29
1053308767 Daniel K Gullekson Optometrist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2005-09-29
1679569511 Luis Benito Otero Jr. Family Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2005-09-26
1043205883 Kellie Andes Griffith Psychiatry & Neurology 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2005-09-19
1750376224 Marie-antonette Brancato Dentist 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 2005-09-12
1558355875 Leslie Ann Knight Family Medicine 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 2005-08-31
1679800734 Dawn A Tanner Social Worker 1100 Wilford Hall Loop Bldg 455459, Jbsa Lackland, TX 78236 2009-11-11
1245855535 David Sager Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop Bldg 455459, Jbsa Lackland, TX 78236-5638 2020-06-11
1629607296 Deonte Williams Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop Bldg 455459, Jbsa Lackland, TX 78236-5638 2020-04-06
1609432657 Alyssa V Joiner Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop Bldg 455459, Jbsa Lackland, TX 78236-5638 2019-05-15
1366900144 Liezl Zeeman Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop Bldg 455459, Jbsa Lackland, TX 78236-5638 2019-03-11
1245798180 Bradley Phillips Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop Bldg 455459, Jbsa Lackland, TX 78236-5638 2019-03-11
1538627005 Cameron John Elward Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop Bldg 455459, Jbsa Lackland, TX 78236-5638 2019-03-04
1386136299 Lindsay Erin Gilmore General Practice 1100 Wilford Hall Loop Bldg 455459, Jbsa Lackland, TX 78236-5638 2018-06-06
1467944488 Marie Black Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop Bldg 455459, Jbsa Lackland, TX 78236-5638 2018-06-05
1891859450 Gretchen Ann Fivecoat Dietitian, Registered 1100 Wilford Hall Loop Rm 3g053, Jbsa Lackland, TX 78236-5638 2006-12-20
1467765370 Tarra Faulk Internal Medicine 1100 Wilford Hall Loop Ste 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-5638 2010-07-20
1770112534 Michael Saunders Student in an Organized Health Care Education/Training Program 1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/gme, Jbsa Lackland, TX 78236-9908 2020-04-03
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