National Provider Identifier (NPI)
FORT GORDON


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.

FORT GORDON · 207Q00000X · Search Result

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