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.
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003290511 | Daniel Jason Frasca | Family Medicine | 300 E. Hospital Rd., Fort Gordon, GA 30905 | 2015-07-14 |
1902206907 | Elizabeth Ashley Suniega | Family Medicine | Connelly Health Clinic, Building 29709, B Street, Fort Gordon, GA 30905 | 2014-08-26 |
1073778866 | Amayi Maria Bloodsaw | Family Medicine | 301 East Hospital Road, Fort Gordon, GA 30905-5650 | 2008-07-22 |
1730177965 | Jason Seton Lanham | Family Medicine | 300 Hospital Drive, Family Medicine Clinic, Fort Gordon, GA 30905-5650 | 2005-10-12 |
1881695328 | Carolynn Marie Warner | Family Medicine | 300 East Hospital Drive, Ddeamc, Virtual Health, Fort Gordon, GA 30905 | 2005-08-09 |
1063412500 | Virginia Yates | Family Medicine | 300 East Hospital Rd, Credentials Coordinator, Fort Gordon, GA 30905 | 2005-07-27 |
1275535593 | Thomas Philip Garigan Jr. | Family Medicine | Bldg 300 East Hospital Road, Ddeamc (attn: Dfcm-fmc), Fort Gordon, GA 30905-3851 | 2005-06-01 |
1902323538 | Jameika Crawford-dicks | Family Medicine | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2017-08-24 |
1841727047 | Michal Poplawski | Family Medicine | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2017-05-18 |
1053847178 | Anthony Bieck | Family Medicine | 300 East Hospital Road, Dwight David Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 | 2017-05-10 |
1316390990 | Joshua D Boucher | Family Medicine | 300 East Hospital Rd, Fort Gordon, GA 30905-5650 | 2016-07-19 |
1740663228 | Nicholas Rathjen | Family Medicine | 300 East Hospital Road, Family Medicine, Dwight David Eisenhower Army Medical, Fort Gordon, GA 30905-5650 | 2015-07-02 |
1912389735 | Maggie C Wertz | Family Medicine | 300 W Hospital Rd, Fort Gordon, GA 30905 | 2015-06-29 |
1255713996 | Aaron Poch | Family Medicine | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2015-06-18 |
1699156489 | Anne Atalig | Family Medicine | 300 East Hospital Road, Fort Gordon, GA 30905 | 2015-06-17 |
1174904981 | Siavash David Shahbodaghi | Family Medicine | 300 East Hospital Road, Dwight David Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 | 2015-06-17 |
1912388968 | Thomas Neubauer | Family Medicine | 300 East Hospital Road, Transitional Year Program, Ddeamc, Fort Gordon, GA 30905-5650 | 2015-06-16 |
1972945384 | Tyler Sherrod Rogers | Family Medicine | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2013-07-25 |
1790126209 | David Louis Anderson | Family Medicine | 300 Hospital Rd, Fort Gordon, GA 30905-5741 | 2013-07-12 |
1942641469 | Nicole Kathy Nelson | Family Medicine | 300 E Hospital Rd, Fort Gordon, GA 30905 | 2013-07-12 |
1518222900 | Richard Derik Detheridge | Family Medicine | 300 E Hospital Rd, Fort Gordon, GA 30905 | 2012-07-11 |
1831453604 | Michael Thomas Cavender | Family Medicine | 300 East Hospital Road, Dwight David Eisenhower Army Medical Center, Fort Gordon, GA 30805-5650 | 2012-06-27 |
1346523818 | Patrick Michael Carey | Family Medicine | 300 W Hospital Rd, Ddeamc Family Medicine Clinic, Fort Gordon, GA 30905-5650 | 2011-09-21 |
1831472463 | Benjamin Theodore Arthur | Family Medicine | 300 W Hospital Rd, Fort Gordon, GA 30905 | 2011-09-20 |
1124309505 | Marvin Dees | Family Medicine | 300 W Hospital Rd, Meb, Fort Gordon, GA 30905-5741 | 2011-08-30 |
1528356771 | Julissa Mendoza | Family Medicine | 300 W Hospital Rd, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5741 | 2011-07-20 |
1790073658 | Derek Paul Baudoin | Family Medicine | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2011-07-13 |
1790014843 | Patrick Francis Coughlin | Family Medicine | 300 East Hospital Road, Dwight D. Eisenhower Army Medical Center, Fort Gordon, GA 30905 | 2009-12-21 |
1245462787 | Shannon Foster | Family Medicine | 300 W Hospital Rd, Family Medicine Clinic, Fort Gordon, GA 30905-5741 | 2009-08-18 |
1528223559 | Jason Bravo Alisangco | Family Medicine | 300 W Hospital Rd, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5741 | 2008-07-18 |
1124282090 | Johnie Stuart Tillman | Family Medicine | 300 W Hospital Rd, Attn: Credentials, Fort Gordon, GA 30905-5741 | 2008-07-10 |
1871760546 | Drew Craig Baird | Family Medicine | 300 W Hospital Road Eisenhower Army Medical Center, Room 11c17 Attn Office of Gme, Fort Gordon, GA 30905-5650 | 2008-05-13 |
1740462548 | David Victor Bode | Family Medicine | 300 W Hospital Rd, Ddeamc Family Medicine Clinic, Fort Gordon, GA 30905-5741 | 2007-12-04 |
1184835290 | Mary Digiulio | Family Medicine | 300 Hospital Dr, Fmc, Dfcm, Fort Gordon, GA 30905 | 2007-05-24 |
1083761159 | Rakesh Kumar Sharma | Family Medicine | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2007-01-04 |
1295899631 | Matthew Vernon Fargo | Family Medicine | 300 Hospital Road, Fort Gordon, GA 30905-5650 | 2006-12-20 |
1619030236 | Ron Moody | Family Medicine | Hospital Road, Fort Gordon, GA 30907 | 2006-12-18 |
1467514521 | James Jay Geracci | Family Medicine | 300 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2006-12-15 |
1346302965 | Michelle Marie Holland | Family Medicine | 300 W Hospital Rd, Community Care Clinic Attn Credentials, Fort Gordon, GA 30905-5741 | 2006-12-14 |
1710046990 | Quinnon Ralph Purvis | Family Medicine | 300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905-5650 | 2006-12-06 |
1063580488 | John Scott Earwood | Family Medicine | 300 W Hospital Rd, Family Medicine Clinic, Fort Gordon, GA 30905-5741 | 2006-12-01 |
1780750083 | Stephen John Conner | Family Medicine | 300 Hospital Road, Eisenhower Army Medical Center,family Medicine Clinic, Fort Gordon, GA 30905-5650 | 2006-11-28 |
1508932807 | Morgan Whaley | Family Medicine | 300 W Hospital Rd, Eamc Credentials, Fort Gordon, GA 30905-5741 | 2006-11-28 |
1558437020 | Mark Thomas Sisson | Family Medicine | 300 W Hospital Rd, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905-5741 | 2006-11-28 |
1609942184 | John Glenn Angelo | Family Medicine | 300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905-5650 | 2006-11-28 |
1710925805 | Lillian E Perez | Family Medicine | 300 Hospital Rd, Meb Section, Fort Gordon, GA 30905-5650 | 2006-06-02 |
1386697506 | Alissa S Brooks | Family Medicine | 300 W Hospital Rd, Medical Evaluation Board, Fort Gordon, GA 30905-5741 | 2006-05-18 |
1427011428 | Katrina Darlene Hall | Family Medicine | 300 East Hospital Road, Family Medicine, Fort Gordon, GA 30905-5650 | 2006-04-10 |
1922088202 | Carla B. Lee | Family Medicine | 300 E. Hospital Rd, Meb/ides, Fort Gordon, GA 30905-5741 | 2006-01-20 |
1639157159 | Rimani Kelsey-rogers | Family Medicine | 300 W Hospital Rd, Meb Clinic (bldg 40709), Fort Gordon, GA 30905-5741 | 2006-01-04 |
1477535565 | Vincent Carl Bentley | Family Medicine | 300 East Hospital Road, Fort Gordon, GA 30905 | 2005-11-16 |
1144211053 | James Daniel Phillips | Family Medicine | 300 Hospital Road, Dd Eisenhower Army Medical Center, Fort Gordon, GA 30905 | 2005-10-31 |